Veteran Home Repair Eligibility Form | Knoxville Habitat for Humanity

Phone

This field is for validation purposes and should be left unchanged.

Answer a few questions to see whether you may qualify for veteran-focused repair services through Knoxville Habitat’s Critical Home Repair program. This is an initial screening, not a full application, and completing it does not guarantee eligibility, funding or repair services.

Preliminary eligibility questions

Please answer each question accurately. Your responses will help determine whether you can continue with this pre-application screening.

Have you served, or are you currently serving, in the U.S. Armed Forces?(Required)

Yes

No

Do you own and occupy a home in Knox County, Tennessee, as your primary residence?(Required)

Yes

No

Are the property taxes on your home current, and is the property free of liens?(Required)

Yes

No

Based on your responses, you cannot continue with this screening.

You do not meet one or more of the preliminary eligibility requirements for this program.

Please contact Knoxville Habitat for Humanity at (865) 523-3539 if you believe your circumstances require additional review or you would like information about other services or resources.

Applicant Information

What is the full legal name of primary applicant?(Required)

First Middle Last

What is the full legal name of second applicant?

First Middle Last

Phone(Required)

Email(Required)

What is the address of the home needing repairs?(Required)

Street Address Address Line 2 City State ZIP Code

What days and times are generally best for Knoxville Habitat to contact you or schedule a meeting?(Required)

If not the homeowner(s), who is the best person to contact about this request?

First Last

Relationship to homeowner, if applicable

Phone

Email

Veteran Home Repair Eligibility Check

Preliminary eligibility questions

Based on your responses, you cannot continue with this screening.

Applicant Information

Household Information