Oceanside Safe Parking Self Referral Form

The Safe Parking Program, funded by the City of Oceanside, assists families and individuals living in their vehicles by providing a safe place to park overnight and support in their journey toward permanent housing. Our program offers various on-site services, including restrooms, handwashing stations, charging stations, and case management services. 

Please note that we are not an emergency shelter and do not provide direct housing or hotel vouchers. If you are seeking these types of services, please contact 2-1-1 for assistance. We do not take RVs, campers, camper vans, commercial vehicles, or any contained recreational vehicle. 

We kindly ask that you do not arrive unannounced at any of our sites.

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Email *
Referred Person’s Full Name (Head of Household):
*CLIENT INFO, NOT REFERRING PROVIDER
*
Phone Number (###) ###- ####
If you change your phone number before being enrolled please come back and update this form.
Email Address
How many total people (including yourself) are residing in the vehicle? 
All individuals must be registered in the program.
*
How many children under the age of 18 are residing in the vehicle? *
Do you have a pet? *
Vehicle Information (Make, Model, Color)
We do not take RVs, campers, camper vans, commercial vehicles, or any contained recreational vehicle. 
*
Are you currently residing in a vehicle that is operable?   *
Current location where household is experiencing homelessness: 
I understand that the completion of this form does not automatically result in placement in the Safe Parking Program (SPP) and I may be added to the waiting list. I understand that the services offered by Dreams for Change SPP are voluntary and the space provided is temporary. This is not a 24-hour program- all participants are required to exit the site each morning by 6:00 A.M. Furthermore, this program is more successful to those who are housing focused and actively engaged in the search.  *
Clearing a Megan's Law California Sex Offender & DOJ search is required to enter this program. *
How did you hear about us? 
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If you are a referring agency please provide your organizations name, your name, email and contact information.
Are there any other applicable details relevant to the referral that you would like us to know? (Ex. Pet Information, Disability Accommodations, etc.)
A copy of your responses will be emailed to the address you provided.
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