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Home Repair Request Form
A Brush With Kindness is New Orleans Habitat's home repair program.

Please fill out the form below to begin your application for home repair services. There will be a full application from our Home Repair team after this form is filled out. Homes will be assessed by Habitat after the receipt of a successfully completed application with all requested supporting documentation.

Repairs will be made on a case-by-case basis, driven by available resources and personnel, and will be restricted to the main house structure. No shed repairs will be considered.

Habitat reserves the right to request additional information before conducting a physical property assessment.

Eligibility requirements for Habitat Home Repair:
• Have a demonstrated need for health and safety repairs.
• Household gross income must be at or below 80% of Area Median Income (AMI).
• Be willing to partner with New Orleans Habitat, volunteers, and the community.
• You must be the homeowner, and the home must be your primary residence.
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Name *
Address *
Email
Best phone number to contact you *
Do you use text messages on your phone?
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Is the damage to your home caused by Hurricane Ida?
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If yes, is there also damage that was not caused by Hurricane Ida?
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Do you own the home as your primary residence? The answer must be yes for Habitat to consider repairs. *
Is your home a mobile home? The answer must be no for Habitat to consider repairs. *
Describe the repairs requested. *
Will the roof need repair or replacement?
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Is the roof currently tarped? In part or in whole? If you do not need roof repairs, you may skip this question.
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What is the extent of the shingle loss? If you do not need roof repairs, you may skip this question.
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Is there damage to the sheathing or roof deck below the shingles? If you do not need roof repairs, you may skip this question.
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Did water enter the house through the roof or windows?
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This form was created inside of New Orleans Area Habitat for Humanity. Report Abuse