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 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
These items 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