Home Rehab Referral Form
- Downloadable Word File
Printable Web Page
(Deadline for referrals for the 2011 National Rebuilding Day is Monday, January 3. Referrals/applications received after that date will be kept on file for the following Rebuilding Day.)
Home Modification Referral Form - Downloadable Word File Printable Web Page
(Referrals/applications are accepted year-round for the Home Modification and Wheelchair ramp programs)
Donations help us purchase materials and supplies to rehabilitate homes so
the elderly, persons with disabilities and families with children can live in
warmth, safety and independence.