Let's Get Started!

Let Us Know How We Can Help You

We're so glad you're here!

The two words we look forward to saying to you are “Welcome Home” whether that’s to your newly built home or to a home that feels new because we’ve made the repairs you’ve needed for a long time.

The first step on the road to having a new or better home is to fill out and submit the form below. Once submitted, the form is automatically emailed to our staff, who will contact you as soon as possible about your next step.

Be aware that this is NOT an application, and we cannot determine whether you qualify for our program based on this form. This is simply an intake form, which lets us know what program or service you need and how we can contact you.

If you have questions, please call us at 606-436-0497 or email rebekah@hdahome.org. You can also check out our FAQs to see if your question is answered there.

Ready for a brighter future? Submit the Intake/First Contact Form today!

If you'd prefer not to submit an online form, just call us and request a paper application be mailed to you. You can either mail the completed form back to us, or you can fax it to our office. You may also simply come by our office to pick up or fill out a form!

Call: (606) 436-0497
TTY-711 (Hearing Impaired) ​

Fax: (606) 436-0598

Office Hours
Weekdays - 8:00 am - 5:00 pm