Sober Living Home Submission Form

For this web site to be the best and most informative, we need your help. If there is a sober living home in your community that is not listed on these pages, please let us know. Fill out the form below and we'll do the rest. We'll get all the information that someone looking for a sober living home will need or be interested in knowing and post it here on this site.

*   Contact Name:
*   Contact Phone:
*   Contact E-Mail:
Home or Organization Name:
Website URL:
*   Address 1:
Address 2:
*   City:
County:
*   State:	-- AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Zip Code:
*   What type of residents?	Men Only Women Only Women w/Children Co-ed Couples
*   Are dual-diagnosed residents allowed?	Yes No
*   Do residents have to be 18 or over?
*   How much is the rent? Is it weekly or monthly?	Weekly Monthly
Are there any other requirements we haven't asked about? Is there anything else you would like to tell us about your home?

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