Emergency Assistance Application

To apply for assistance, each adult household owner/occupant must complete an application completely and accurately.  Please ensure that all blank are filled in and dates are included where appropriate.  Failure to provide complete and accurate information may result in a loss or denial of assistance.  Only complete application will be accepted.

Click below to download necessary application forms:

​Emergency Repairs Assistance Application - For owner(s)
Non-Owner Adult Application - For all non-owner occupants age 18 years and older. This includes adult children, tenants, relatives, etc…
Residency Verification form – For all owner/occupants age 18 years and older
​Emergency  Repairs Program Overview