Let's Get Started!
Let Us Know How We Can Help You
Tell us a little about your housing needs.
Use this form to tell us a little about yourself and what you’re hoping to accomplish.
Whether you’re interested in homeownership, home repair, or just exploring your options, this is the first step.
Submitting this form does not guarantee services, but it helps our team understand your situation and determine the best next step. A member of our staff will review your information and follow up with you.
If your home was affected by the 2022 or 2025 floods – whether through damage, displacement, or other flood-related challenges – please use our Flood-Impacted Households form so we can connect you with the right programs.
Please proceed to our standard form below.
Before You Begin
About Home Repair Requests
Due to the ongoing impact of the 2022 & 2025 flood disasters, our Home Repair Program has received a higher-than-normal number of requests. While we are still accepting inquiries, some applicants may be placed on a waiting list and wait times for assistance may be longer than usual.
About This Form
This form is not an application and does not determine eligibility for any HDA program. It is a first step that helps our team understand what type of assistance you’re seeking and how to contact you.
After you submit this form, a member of our staff will follow up to discuss next steps and, if appropriate, complete a full intake.
Questions?
If you’re unsure which program fits your situation, don’t worry – our team will help guide you when we follow up.
Prefer Not to Use the Online Form?
We want to make it easy for everyone to get started. If you’re unable or prefer not to submit this form online, you can contact our office to request a paper Get Started form.
- Ask for a form to be mailed to you
- Return a completed form by mail or fax
- Visit our office to pick up or complete a form in person
Our staff will follow up with you after we receive your form to discuss next steps.
Call: (606) 436-0497
TTY-711 (Hearing Impaired)
Fax: (606) 436-0598
Office Hours
Weekdays - 8:00 am - 5:00 pm
Please see our office location below.
