• 14325 Jane Ave, Detroit, MI 48205 | (313) 521-6691

Veteran Critical Home Repair Application

This application is for home repair services for Military Veterans only. Please complete every section of the application to the best of your ability. Some of the questions can help us determine your eligibility for other services available in the community that we may be able to connect you with. If you have any questions, do not hesitate to give us a call at 313-521-6691.

Veteran Critical Home Repair Application
Address *
Address
City
State/Province
Zip/Postal

Information for Government Monitoring Purposes

The following information is requested by the federal government for programs related to the purchase of homes, in order to monitor the organization’s compliance with equal credit opportunity and fair housing laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may neither discriminate on the basis of this information, nor on whether you choose to furnish it or not. However, if you choose not to furnish it, under federal regulations the organization is required to note race and sex on the basis of visual observation or surname. If you do not wish to furnish the information below, please check the box below.

Armed Forces Service History

Armed Forces Service *
Was Either Parent a Veteran?

Only Answer these if you selected "yes" to one of the previous questions

Did you attend boot camp?
Did you serve in the Reserves?
Do you have a DD-214?
Do you go to the VA hospital?
Did you serve in active war?
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