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FLTA Referral Application

Refer a client

For partner organizations and referrers, submit a client on behalf of a returning citizen or individual in need of FLTA's financial reentry support.

Referring Party
Client Information
Current Status (select all that apply)
Is the client enrolled in Medi-Cal?
Support Requested (select all that apply)

Referral submitted!

Thank you. Our reentry team will review the referral and reach out to the client to begin onboarding.