Eastern Kentucky Home Repair Program is a grant from Housing Development Alliance (HDA) that funds affordable home repairs for income-eligible homeowners in Breathitt, Knott, Leslie, and Perry counties in Kentucky. The program specifically serves households affected by the 2022 and 2025 floods, as well as other income-eligible homeowners needing essential repairs.

Applicants submit an intake form for review, after which an HDA Home Repair team member contacts them to confirm next steps and required documentation. The program determines which home repair or rehabilitation funds are available based on individual household circumstances. HDA is headquartered in Hazard, KY and focuses on building affordable housing and community development in eastern Kentucky.

Home Repair Intake - Housing Development Alliance 2871 North Main St. , Hazard, KY 41701 Redbud Financial Alternatives Hope Building in the Media Foundations & Corporations Financials and Accountability Ultimate House Raising Challenge Redbud Financial Alternatives Hope Building in the Media Foundations & Corporations Financials and Accountability Ultimate House Raising Challenge Donate Now & Help Build What Lasts!

Redbud Financial Alternatives Hope Building in the Media Foundations & Corporations Financials and Accountability Ultimate House Raising Challenge Redbud Financial Alternatives Hope Building in the Media Foundations & Corporations Financials and Accountability Ultimate House Raising Challenge Home Repair Program Application Detailed intake for eligible homeowners If you are a homeowner in Breathitt, Knott, Leslie, or Perry County, KY and need help with affordable home repairs , please complete the form below.

This program serves income-eligible homeowners , including 2022 or 2025 flood-affected households . Submitting this form allows our team to begin a detailed review of your situation and determine which home repair or rehabilitation funds may be available to you. What happens after you submit this form?

After we receive your intake form, a member of our Home Repair team will contact you to confirm next steps. You will be mailed a document checklist outlining the information we need to continue reviewing your eligibility.

You can return your documents in one of the following ways: Housing Development Alliance, Inc. Bring the documents to our office at 2871 North Main Street in Hazard (across the street from The Mother Goose), or bring them with you to a scheduled meeting with our Home Repair staff. Once all required documents are received, our team will review your information and determine eligibility based on available funding and program guidelines.

We will contact you to explain your status and, if approved, discuss next steps and potential timelines. If you have questions or need help completing this form, please call 606-436-0497 . Our team is here to help.

Not sure if this is the right form? If you haven’t spoken with HDA before or are unsure which program fits your needs, please start with our Get Started form . We’ll follow up and guide you to the right next step.

Step 1 of 5 - Personal Information This field is for validation purposes and should be left unchanged. Name of person filling out the form if different than person applying.

State Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah U.S. Virgin Islands Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific Please select the Eastern Kentucky county you live in.

* You must live in a county we serve in order to qualify for assistance in our program. Number of occupants in household: If there is more than 4 occupants in your household we will contact you for the additional information. * Amount of monthly household employment income?

If you are employed, please list your total monthly income. Amount of monthly household income from self-employment? If you are self-employed, please list your total monthly income.

Amount of monthly household income from Benefits (SSI/SS/Disability) If you receive benefits, please list your total monthly income. Amount of monthly household income from Pension or Retirement? If you draw a pension or retirement, please list your total monthly amount.

Amount of monthly household income from Government Assistance (Welfare, TNAF, KTAP) If you receive any type of government assistance, please list your total monthly amount. Amount of monthly household income from Child Support? If you receive any Child Support, please list your total monthly amount.

Amount of monthly household income from other sources (SNAP, Wic, Other)? If you receive any additional support, please list that total monthly amount. In what type of home do you live?

* Single-Wide-Manufactured Home Double-Wide-Manufactured Home "Trouse" (multiple trailers made into a single home) Living on Family Land (No rent) State / Province / Region Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo Congo, Democratic Republic of the Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czechia Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russian Federation Rwanda Réunion Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syria Arab Republic Taiwan Tajikistan Tanzania, the United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkmenistan Turks and Caicos Islands Tuvalu Türkiye US Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands Personal Information (Please select all that apply.)

* Currently have a loan through a payday lender (ex. Cash Express, Check Advance, etc.) Currently involved in a lawsuit Had a repo or foreclosure Stopped payments on a loan or credit card(s) None of These Apply to Me How do you primarily heat your home? * Do you consider your primary heat source safe and reliable?

Yes, it is both safe and reliable. No, it is not safe or reliable. It is safe, but NOT reliable.

It is reliable, but NOT safe. Do you have a second source of heat? Briefly describe the repairs needed.

* Housing is more than a structure – it’s the foundation for everything else. Stay connected to the work of the Housing Development Alliance through our printed newsletter. Delivered by mail, it shares stories from the community we serve, updates on the homes we’re building and repairing, and a closer look at the people and partnerships that make this work possible.

We send our printed newsletter 1-2 times each year. © 2021 – Housing Development Alliance | Designed by The Holler 1. Is there a cost for home repairs?

Yes – but repairs are made affordable. Most homeowners receive a combination of grants and low-interest loans based on income, household size, and the type of repair needed. We will explain all costs before any work begins.

2. Do I have to own my home to qualify? Yes.

The home must be owner-occupied , meaning you own the home and live in it. We are not able to repair homes you plan to move into or homes owned by someone else. 3.

What kinds of repairs can you help with? We focus on critical health and safety repairs , accessibility improvements, and major home rehabilitations. This can include roofs, floors, plumbing, electrical issues, ramps, HVAC (through a subcontractor), and more.

Cosmetic repairs are generally not eligible. 4. How long will it take to hear back after I get started?

Due to high demand – especially following recent flood disasters – response and wait times are longer than usual. After you submit the Get Started form, our staff will contact you when your request reaches the next step. We appreciate your patience.

5. Why are there two forms? We use two forms to make the process easier and more efficient for homeowners.

The Get Started form is a short first step that lets us understand your situation and determine which repair programs may be a good fit. After reviewing that information, an HDA staff member will contact you to talk through next steps. The Home Repair Intake form is the full application and collects detailed information needed to determine eligibility and funding options.

Most people begin with Get Started – our team will help you from there. 6. Does flooding affect my eligibility?

We assist homeowners who were affected or impacted by flooding , whether repairs are flood-related or not. Flood-related needs may qualify for specific funding sources, but all requests are reviewed individually. Please fill out this contact form and let us know what kind of help you need.

A member of our staff will contact you ASAP. Flood-Impacted Households Assistance Request " * " indicates required fields This field is for validation purposes and should be left unchanged. If your home was affected by the 2022 or 2025 floods – whether through damage, displacement, or other flood-related challenges – please fill out & submit this form so we can connect you with the right programs.

Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah U.S. Virgin Islands Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific Alternate Phone Number (if needed) What are you in need of?

* Home Repairs New Home Construction Affordable Rentals Muck Out/Mold Remediation HVAC Replacement/Heating & Cooling Low-Interest Loans If you selected New Home Construction above, are you interested in having a new home built on a high-ground site (ex. Skyview, Chestnut Ridge)?

The state of Kentucky has funded the construction of "high-ground communities," where subdivisions will be constructed for qualifying flood survivors and those who want to move out of the flood zone. Yes, but I'm also open to other options. I am ONLY interested in the high-ground sites.

Are you interested in one high-ground site specifically? If so, which one? I don't have a preference.

Which county in our service area do you currently live in, or which county are you most interested in living? * Please note HDA serves only the residents of Breathitt, Knott, Leslie, and Perry counties in Eastern Kentucky. Applicants must live in or plan to move to one of these counties.

Message * Briefly let us know how we can help you. What is the best way to contact you? * If text is selected as the best way to contact you, please provide your carrier.

AT&T Verizon Appalachian Wireless Sprint Other Volunteer & Group Interest Form Thank you for your interest in volunteering with the Housing Development Alliance (HDA)! This form is the first step to serving with us through either our Traditional Volunteer Program (Hands to Homes) or our Ultimate House Raising Challenge , a signature part of our Hands to Homes initiative.

Once you submit this interest form, our Volunteer & Community Coordinator will follow up to discuss next steps, available dates, and required forms. Individuals & local volunteers: If you’re interested in volunteering on your own or as part of a small local group, you’re welcome to continue using this form. You may also contact our Volunteer & Community Coordinator directly at 606-436-0497 or janie@hdahome.

org Our Volunteer & Community Coordinator typically responds within one week. If you have not heard from us after submitting this form, please call 606-436-0497 . Please note: This is an interest form only.

Additional forms and confirmations are required before volunteering is finalized. Volunteer & Group Interest Form " * " indicates required fields Name of Organization (if applicable) Are you a new or returning group? Are you a Regional or Local volunteer?

* Regional volunteers travel from outside Breathitt, Knott, Leslie, or Perry counties. Local volunteers live in or near our service area. Phone * Home, Office, or Mobile.

Please list the best number by which you can be reached.

Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo Congo, Democratic Republic of the Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czechia Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russian Federation Rwanda Réunion Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syria Arab Republic Taiwan Tajikistan Tanzania, the United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkmenistan Turks and Caicos Islands Tuvalu Türkiye US Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands Which volunteer opportunity are you interested in?

* Traditional Volunteer Program (Hands to Homes) Ultimate House Raising Challenge The Ultimate House Raising Challenge is a premium, week-long group experience focused on framing and drying-in one or more homes in 4–5 days. I understand the Ultimate House Raising Challenge is best suited for groups of 10–30 serving for a full week and providing a $25,000 sponsorship per home. When would you like to volunteer?

* View available dates on our Volunteer Calendar before selecting your preferred timeframe. Copy & paste this URL into your browser or navigate to the page: https://hdahome.

org/volunteer-calendar/ Month Month 1 2 3 4 5 6 7 8 9 10 11 12 Day Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year Year 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 If you’re available for more than one day, please list the full date range.

How many volunteers do you expect to bring?

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