Safe Housing Healthy Homes Program Interest Form

The Safe Housing Healthy Homes Program is dedicated to increasing awareness of housing-related health hazards, lead poisoning prevention, and the principles of maintaining a healthy home. We encourage vulnerable and low-income populations to take the necessary steps to create a safer living environment and improve their overall quality of life. If a home tests positive for lead, eligible residents may qualify for minor rehabilitation services to address lead-related hazards.
Our next Information Session will be held on June 6, 2026, from 9:00 a.m. to 1:00 p.m. at the Abe E. Pierce III Convention Center. If you have any questions, please contact us at 318-329-2256.
1.First Name(Required.)
2.Last Name(Required.)
3.Email Address(Required.)
4.Phone Number(Required.)
5.Preferred Method of Contact(Required.)
6.Street Address(Required.)
7.City(Required.)
8.State(Required.)
9.Zip Code(Required.)
10.Does a child under the age of 6 live with you or frequently visit the home?
11.Do you have property insurance on your home?
12.Do you have any medical issues due to your home?