GA Program Manual
B. Application
Effective 7/1/16
Application Process
The General Assistance program is a benefit available to OSIPM Presumptive Medicaid individuals who are homeless or who are losing their housing within 90 days. Potential GA individuals can be referred to the GA Program using the Disability Benefits Liaison-General Assistance Referral form (DE 4640). A separate GA application is not required.
If you have a disability and need a document on this Web site to be provided
to you in another format, please contact the Office of Document Management (ODM) at 503-378-3486 or by e-mail at dhs.forms@state.or.us.
If you have questions about DHS or problems getting DHS services, send e-mail to dhs.info@state.or.us. If you have comments about this site, send e-mail to spd.web@state.or.us.
Oregon Department of Human Services
500 Summer St. NE E02, Salem, OR 97301-1073
Phone: (503) 945-5811
Toll-free: (800) 282-8096 (V/TTY)