Contact Information

Phone
530-757-5602
530-758-0204 FAX
530-757-5666 TDD

Email
cmoweb@cityofdavis.org

Office Address
23 Russell Blvd., Suite 1
Davis, CA 95616

Office Hours
Monday – Friday
8:00 a.m. to 5:00 p.m.

Homelessness Outreach Coordination Form

Print

Please submit this form if you would like to request outreach to a person/household experiencing homelessness in Davis. This form should be used to notify local homeless outreach teams of encampments and individuals/households needing assistance.

Please correct the field(s) marked in red below:

1
Submitted By (Name & Email Address)
2

Date of Contact

3

Name of individual(s) in need of services:

4

Last Known Location of Individual or Encampment:

5

Summary of Interaction and Relevant Information:

  • Are there dogs present?
  • Are there any underage youth or unaccompanied minors present?
  • Please include any other details that may aid outreach coordination.
 

    1. To receive a copy of your submission, please fill out your email address below and submit.
      CAPTCHA
      Change the CAPTCHA codeSpeak the CAPTCHA code