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DNWCD Cares Act - Home Repair or Ramps
Please answer the following questions to apply for assistance with Home Repair or Ramps
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Email
*
Your email
What is your First and Last Name?
*
Please enter your name information:
Your answer
What is your mailing address?
*
Your answer
What is your current telephone number?
*
Your answer
What is the name of the ILS assisting you or filling out the form for you?
Your answer
What is today's date?
*
MM
/
DD
/
YYYY
Do you own a home?
*
Yes
No
Is your primary residence in Wayne County, Michigan?
*
Yes
No
2019 Annual Household Income Guidelines. (You can right click on this image, print and fill it out to determine your income level).
Are you within the income limits for our program?
*
Yes
No
What type of home repair or ramp do you need?
*
Roof Repair
Ramp Request
Other:
Required
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