Archdiocese of Miami, Inc.
28 W Flagler ST, 10th Floor, Miami, FL 33130, Tel. 305-272-1073 / Fax. 786-496-9480
28 W Flagler ST, 10th Floor, Miami, FL 33130-1125 Tel. 305-272-1073 / Fax. 786-496-9480
Welcome to the Public Benefits Case Referral
Please select which language you would like to complete this referral in:

By using this referral form, you are asking for legal help with public benefits in Miami-Dade County, Florida. Catholic Legal Services staff will use the information you enter to see if we can help you. We will keep your information confidential.

Please note the following:

  • Our program works strictly with noncitizen clients who are experiencing homelessness. If you are a U.S. citizen, please refer to civil legal aid organizations for support.
  • To be eligible for our services, you must have applied for public benefits with the Department of Children and Families (DCF) or the Social Security Administration (SSA) and received a denial or termination notice. We DO NOT provide support with benefits applications.
  • Please note that we cannot accept every case. You DO NOT become a client unless we tell you that we have accepted your case.
  • Please DO NOT use this referral form if you have a short deadline or an emergency.

Referrals will be reviewed on a rolling basis. Once we receive your completed referral form, a staff member will contact you within two weeks at the contact information you provide.

Initial Information
Who is completing this application? *

Please note that this program works only with noncitizens who are currently experiencing homelessness and whose public benefits have been denied or terminated.

Were your benefits denied or terminated? *
3. Are you a US citizen? *
Where are you currently sleeping? *
Personal Information:
Contact Information 

Please provide a phone number and/or email that can be used to contact you.

Contact Information for Case Manager

If you would like to provide information for the Case Manager working with you, please provide the name and contact information below.

What is the best language for the individual seeking legal help? *
Public Benefits Issue
Which benefit was denied or terminated? *
Did you receive a denial or termination notice?
What is the date on the denial or termination notice?
Please upload the denial or Termination letter you received from DCF or SSA.
Please upload any other supporting documentation
Additional Information
Is there anything else you would like us to know about your situation?