- Individuals intending to enroll in Safe at Home must first participate in safety planning with an Application Assistant.
- Application Assistants are victim service providers, advocates, and other professionals designated by Safe at Home to provide safety planning services and assist in the completion of an application.
- Please contact Safe at Home directly to find a designated Application Assistant in your area or find a list of agencies with designated Application Assistants here.
- After creating a safety plan with a designated Application Assistant, an individual may submit an application for enrollment in Safe at Home. After reviewing the application, a Safe at Home Victim Services Specialist will contact the applicant to discuss eligibility and the enrollment process.
To enroll, please download and complete an application:
A completed application may be faxed to Safe at Home's secure fax at (608) 261-8660 or mailed to Safe at Home, PO BOX 7035, Madison, WI 53707.
Please call 608-266-6613 to confirm a faxed application was received.
Do not use email to submit your application.
PLEASE NOTE: Home ownership can pose unique challenges to participation in Safe at Home. If you currently own or have immediate plans to purchase the property you are seeking to keep confidential, please contact Safe at Home at (608) 266-6613 to discuss other safety planning options that may be available to you.