№ lp_1_2_65654
File format: docx
Character count: 17144
File size: 85 KB
This document is an intake application form used to collect personal and property information from homeowners seeking assistance through a disaster recovery rehabilitation program, with instructions for both the applicant and co-applicant.
Year:
2026
Region / City:
Texas
Theme:
Disaster Recovery, Homeowner Rehabilitation
Document Type:
Application Form
Organ / Institution:
U.S. Department of Housing and Urban Development, Community Planning and Development, Disaster Recovery and Special Issues Division
Author:
State of Texas, General Land Office
Target Audience:
Homeowners applying for rehabilitation assistance after a disaster
Period of Action:
Ongoing, subject to disaster events
Approval Date:
Not specified
Modification Date:
Not specified
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The product description is provided for reference. Actual content and formatting may differ slightly.
Note:
Year
Region/City:
State of New Mexico
Subject:
Homeowner Building Permit
Document Type:
Application Form
Organization/Institution:
Construction Industries Division
Target Audience:
Homeowners applying for a building permit
Note:
Year
Contextual Description:
A document designed for inspectors involved in housing rehabilitation under the Community Development Block Grant Disaster Recovery program, outlining a detailed checklist for evaluating various aspects of residential properties during inspections.
Year:
2023
Region / City:
North Myrtle Beach
Topic:
Residential rules and regulations
Document Type:
Rules
Organization / Institution:
Ocean View Villas Homeowner Association
Author:
Ocean View Villas Homeowner Association
Target Audience:
Homeowners and renters of Ocean View Villas
Period of validity:
Not specified
Approval Date:
Not specified
Date of Changes:
01/01/2023
Document type:
Housing rehabilitation standards
Program:
Community Development Block Grant Disaster Recovery (CDBG-DR)
Issuing body:
U.S. Department of Housing and Urban Development, Community Planning and Development
Authors:
Armand C. Magnelli; Amy Hook
Contributors:
Enterprise Community Partners
Applicable building types:
One- to four-unit dwellings, up to three stories
Subject area:
Housing rehabilitation and disaster recovery
Intended users:
CDBG-DR grantees and housing program administrators
Related standards:
LEED; Green Communities Criteria; ASHRAE 62.2
Legal status:
Informational, not an official HUD document
Scope:
Minimum performance standards for homeowner rehabilitation programs
Year:
2017
Region / City:
Georgia
Subject:
Disaster Recovery, Homeowner Assistance
Document Type:
Agreement
Organization / Institution:
State of Georgia
Author:
State of Georgia
Target Audience:
Homeowners receiving assistance under the CDBG-DR program
Period of Effect:
Indefinite, based on program terms
Approval Date:
[Date of execution]
Amendment Date:
[Not specified]
Organization:
Rebuilding Together DC • Alexandria
Program:
Free Home Repair Program
Region / City:
Washington, DC
Application Deadline:
September 30, 2025
Eligibility:
Limited-income homeowners
Income Documentation Required:
Most recent bank statement and one of the following — 2025 Social Security or disability statement, 2025 pension or annuity statement, full month paystubs, or tax returns
Household Income Limits:
From less than $68,500 (1 person) to less than $129,100 (8 people)
Application Submission Address:
101 Xenia Street SW, #102, Washington DC 20032
Contact Phone:
202-800-6032
Fax:
202-664-1341
Contact Person:
Nancy Lobo
Email:
[email protected]
Application Frequency:
Homeowners may only apply every 2 years
Program Conditions:
No guarantee of work; homeowner volunteer participation required; primary residence commitment for 24 months after repairs
Financial Conditions:
Reimbursement of repair costs or $3,000 donation required if property is rented, sold, or transferred within 24 months
Confidential Information Collected:
Demographic data, disability status, veteran status, household composition
Type of Document:
Program application form and homeowner agreement
Year:
2022
Region / City:
West of England
Topic:
Retrofit accelerator program, homeowner advice
Document Type:
FAQ
Organization / Institution:
West of England Combined Authority (WECA)
Author:
West of England Combined Authority
Target Audience:
Prospective partners for the retrofit accelerator program
Period of Validity:
Ongoing
Approval Date:
N/A
Modification Date:
N/A
Year:
2026
Region / City:
United States
Thematic:
Insurance / Homeowners Coverage
Document Type:
Application Form
Organization / Institution:
Scottsdale Insurance Company
Contact Information:
1-800-423-7675, Fax: 480-483-6752
Applicant:
Name and address fields provided for applicant and co-applicant
Coverage Details:
Dwelling, Other Structures, Personal Property, Liability, Medical Payments, Endorsements
Effective Date:
Field provided
Expiration Date:
Field provided
Previous Coverage:
Fields for prior carrier, policy number, expiration date
Property Information:
Year built, construction type, occupancy, square footage, roof and plumbing details
Risk Information:
Loss history, claims history, fire/water/structural damage, animals, exotic pets, proximity to water or commercial properties
Additional Requirements:
Inspection, photographs, questionnaires
Privacy and Legal Notices:
Privacy policy acknowledgement, Fair Credit Reporting Act notice
Year:
2020
Region / City:
Washington County
Topic:
COVID-19 financial relief for homeowners
Document Type:
Term Sheet
Organization / Agency:
Washington County Community Development Agency (CDA)
Target Audience:
Homeowners at risk of mortgage default or foreclosure
Funding Source:
CARES Act Coronavirus Relief Fund
Assistance Amount:
Up to $10,000 per household
Eligibility Criteria:
Household income ≤ 115% of Area Median Income, documented COVID-19 related financial hardship, liquid assets limit
Covered Expenses:
Mortgage/loan payments, Homeowners Association dues, manufactured home community lot rent
Application Period:
March 1 – December 30, 2020
Payment Method:
Direct payment to mortgage servicer/HOA or documented application by homeowner
Year:
2024
Region / City:
South Cove
Theme:
Homeowner Association, Annual Meeting
Document Type:
Notice
Organization:
South Cove Homeowners Association
Author:
South Cove HOA Board of Directors
Target Audience:
South Cove HOA Members
Period of Validity:
November 12, 2024
Approval Date:
October 25, 2024
Date of Changes:
Not specified
Year:
2023
Region / City:
Texas
Subject:
Homeowner Assistance
Document Type:
Letter
Organization:
Texas General Land Office
Author:
Texas General Land Office
Target Audience:
Homeowners
Period of Action:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Contextual Description:
Letter informing homeowners of changes to the Homeowner Assistance and Reimbursement Programs (HARP), specifically regarding the availability of reconstruction funding and the closure of rehabilitation and reimbursement programs.
Note:
Year
Year:
Not specified
Country:
United States
Region / State:
Various U.S. states (including references to CA, NY, MA, MO, RI, FL, IA)
Subject:
Homeowner property insurance underwriting and application
Document Type:
Insurance application form
Organization:
Nationwide Mutual Insurance Company and affiliated companies including Scottsdale Insurance Company, National Casualty Company, Scottsdale Indemnity Company, Scottsdale Surplus Lines Insurance Company
Industry:
Insurance
Purpose:
Collection of applicant, property, risk assessment, and coverage information for issuance of a homeowner insurance policy
Key Sections:
Applicant Information; Coverages and Limits of Liability; Rating and Underwriting; Loss History; Prior or Current Coverage; General Information; Additional Interests; Closing Statement
Related Legislation:
Fair Credit Reporting Act
Participants:
Applicant, Co-Applicant, Insurance Agent or Producer
Required Signatures:
Applicant, Co-Applicant, Producer / Agent
Attachments Referenced:
Inspection reports, photographs, protection class questionnaire, woodstove questionnaire, inland marine supplemental application, in-home business questionnaire, replacement cost estimator
Note:
Year
Topic:
Medicaid Services, People with Disabilities, Case Management
Document Type:
Guide
Organization / Institution:
Oregon Department of Human Services (ODHS)
Target Audience:
Case Managers, Social Workers, Healthcare Providers
Note:
Year
Year:
2025
Region / City:
Kampala, Uganda
Subject:
Education, Humanities and Social Sciences
Document Type:
Application Form
Institution:
Makerere University
Author:
Makerere University
Target Audience:
Prospective PhD students
Period of Validity:
2026 Intake
Approval Date:
November 17, 2025
Date of Revision:
N/A
Note:
Year
Region / City:
Arkansas, USA
Type of Document:
Intake Form
Institution:
Arkansas Adult Education
Target Audience:
Adult learners
Required Fields:
Personal information, program selection, employment status, contact details
Program Categories:
Adult Education – ABE, Family Literacy, Workplace Literacy, ESL
Disability Status:
Optional disclosure
Military Service Information:
Optional disclosure
Data Sharing Agreement:
Required for participation
Emergency Contact:
Required
Social Security Requirement:
Not mandatory for participation
Enrollment Programs:
WIOA Core Programs, Title 1, Title 3, Title 4
Year:
2026
Region / City:
Washington, USA
Topic:
Social Service Intake Process for Medicaid Long-Term Services and Supports
Document Type:
Informational Guide
Agency:
ALTSA (Aging and Long-Term Support Administration)
Author:
Dru Aubert, Case Management Unit Manager
Target Audience:
Social service professionals, applicants for Medicaid Long-Term Services and Supports
Period of Validity:
N/A
Approval Date:
N/A
Revision Date:
N/A
Institution:
University of Technology Sydney
Program:
Master of Speech Pathology
Document type:
Prerequisite assessment instructions and assessment table
Intake year:
2024
Applicant categories:
Domestic applicants; International applicants
Assessment stage:
Pre-assessment prior to applications opening (domestic only)
Submission timing:
With application after applications open
Submission format:
Word document (.docx)
File naming convention:
LASTNAME-master-speech-pathology-prerequisite-table.docx
Prerequisite subjects:
Human Anatomy; Human Physiology
Level of study required:
Tertiary level
Prerequisite completion timeframe:
Within the past 10 years
Concurrent study:
Not permitted
Academic review cycle:
Annual
Assessment authority:
Academic team
Source type:
University admissions requirements document defining eligibility criteria, submission conditions, and academic content standards for prerequisite subjects for entry to a postgraduate degree.
Note:
Date
Region / City:
Newport News
Topic:
Child Protective Services
Document Type:
Intake Form
Agency:
Newport News Department of Human Services
Target Audience:
Social workers, child welfare professionals
Contextual Description:
A form for reporting suspected child abuse or neglect to the Newport News Department of Human Services, intended for use by social workers and other professionals.