Future Home Repair Programs - Notification List Signup Form

If a PRF employee has already informed you that you were added to a list to receive information on new programs since the statewide program's applications closed in November 2025, you do not need to submit this form. If you applied to the statewide program and have been informed that it is not likely that your application will be reached by the budget, you do not need to submit your information to this form, as we will already notify you of other programs.

For information on other programs, which are not run by PRF, you can visit this page on our website.

Homeowner Name

First NameLast Name

Street Address

Ex. 372 W Fountain St

Street Address 2

Ex. "Apt 2," "Unit 3"

City / Town / Municipality

ZIP Code

Does your property currently have a code violation?

Only one method of contact is required.

Email

example@example.com

Phone Number

Format: (000) 000-0000.

Please select the part(s) of your property that require repair or replacement. If there are any new programs that cover your needs, we will alert you.

You can use this space if you would like to add any more information on your current repair needs.