Application Assistant Responsibilities include:
  • Meet in person with a potential participant and complete the Safe at Home application materials
  • Work with the client to determine whether the Safe at Home Program should be a part of their overall safety plan
  • Explain the Safe at Home Services and statutory guidelines to clients
  • Forward the completed application to the Safe at Home program on behalf of the applicant. 
  • Adhere to the terms and conditions of the Safe at Home Application Assistant agreement
  • Notify the Safe at Home program of any changes in their contact information or if they no longer wish to serve as an application assistant
Application Assistants are not permitted, at any time, to provide legal advice to potential program participants, unless otherwise authorized to do so by law. If you have any questions concerning the Safe at Home Program or the information contained here, please contact the Safe at Home Program directly or seek advice from your own attorney or advisor. 


Please follow the steps below if you are interested in becoming an application assistant

Submit an application to the Office of the Secretary of State

This application must be submitted to the Safe At Home Address Confidentiality Program. Applications may be submitted
by mail, via email to, or in person at a Certified Application Assistant Training event.

Complete a training program

The training programs is designed to prepare you to assist applicants in the application process and in taking full advantage of the program.  Please contact the Safe at Home Program directly for more information on upcoming trainings now being offered via WebEx.  Once all required training has been completed, you will receive a certificate demonstrating that you are an approved Application Assistant.