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Berkshire County Housing Rehabilitation Program

If you wish to stay on the waitlist for any potential upcoming Housing Rehabilitation Programs, please fill out the following form. Please know that all your responses are confidential and are shared only with the Grant Administrator and Housing Rehabilitation Team.
1.Full Name of Homeowner
2.Which town do you live in?
3.Physical Address of Property
4.Mailing Address of Homeowner
5.Email Address
6.Phone Number
7.Using your best estimation, please select your annual household income. Please include all working members of the household over the age of 18. (Please note: this is an income-driven program. However, qualifying incomes are based on household size. Selecting any of these categories does not automatically disqualify your household.)
8.How many people live in the household full-time?
9.Which items below need to be repaired on your home? Select all that apply.
Thank you for filling out this form. You are now on the Housing Rehabilitation Waitlist. We will be in touch as soon as grant funds are available.