Contractors Care Request
Friends of Loudoun Mental Health is here to help. If you have home repairs that need to be made for your comfort and safety, we care and are here. Please complete this form, and we will be in touch soon.
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Name *
Street Address *
Phone Number *
Please describe the repair issue for which you are seeking help. *
Is this an emergency need? *
Do you rent or own your property? *
If this is a rental property, is the owner/landlord in agreement with this repair?
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Owner/Landlord Name
Owner/Landlord Phone Number
When would someone be available to talk about your request further? *
Time *
How did you hear about this opportunity for assistance? *
Case Manager or Therapist Name *
Case Manager or Therapist Phone Number *
Please email pictures that clearly show the requested repair needed to and

Upon acceptance, a representative of a Friends of Loudoun Mental Health partner in the program will contact you to discuss the repair needed. An appointment will be set at a mutually agreeable time for the representative to inspect the issue. You will then be contacted again by that representative to actually do the repair. If this is a rental property, permission may be needed from the property owner to do the repair.
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