Habitat for Humanity Frederick

Home Repair Online Application

Please fill out the form below, and then submit the following information:

  • Most recent 4 paystubs, SS/Retirement Statement, etc. from ALL income sources 18 yrs old and older in the household
  • Most recent statements (not letters or overdue bills) from ALL bills, even if they are annual or semi-annual (rent/mortgage, car payments, insurances (home, life, auto), tv, phone, internet, water/sewage, child care, real estate taxes, credit card payments, loan payments, electric/gas, etc).
  • A copy of your current homeowner’s insurance with premium

The items above can be submitted by:

Fax: 301-698-1697

Email: info@frederickhabitat.org

Mail or Drop Off:
Habitat for Humanity of Frederick County
24 S. Wisner Street, #130
Frederick, MD 21701



Online Application Form:

Home Repair
Address - Frederick County Maryland residents only
Street Address
Cell Phone
Habitat for Humanity Frederick
24 S. Wisner Street, Suite 130
Habitat for Humanity Frederick
Frederick, MD 21701
Habitat for Humanity Frederick
Scroll to the top of this page.