Application

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Dear Applicant:

The purpose of the City of Renton Housing Repair Assistance Program (HRAP) is to provide minor home repairs to eligible Renton resident's homes in a manner that supports the health and safety of the occupants. There is no cost to eligible City homeowners. To be eligible you must:
  1. Live in and own your home within the Renton City limits for at least 12 months, and not plan to move from that residence in the following 12 months.

  2. Have a total household adjusted gross income no greater than (See Income Chart)

  3. Complete the application with all required documentation.


The online brochure outlines what services the program does and does not provide. Staff determines what repairs will be done; it is based on need and availability of resources.
If you have questions about the program or want additional information, please call 425-430-6600, email humanservices@rentonwa.gov, or visit the web site at http://rentonwa.gov/city_hall/community_services/human_services/housing_repair_assistance.

For questions please see our frequently asked questions here: City of Renton's Housing Repair FAQ's

CITY OF RENTON HOUSING REPAIR ASSISTANCE Program

Home Owner Application

For Assistance: Phone: 425-430-6600, Email: humanservices@rentonwa.gov

  1. Fill out the application completely, then submit the application with the supporting documents.

  2. The following supporting documents must be attached to the application for program eligibility.
    1. Federal Tax Return: the most recent, signed, 1040 Tax Return for each non-renter occupant in your home that is over 18 years old.
      1. If you do not file taxes, please complete and submit the attached 1040 form as proof of income.
      2. Any rental income you receive must be included on your tax return.

    2. WA State Vehicle Certificate of Ownership if your home is a manufactured/mobile home built in 1977 or later. The program does not serve mobile homes built before 1977.
      1. A vehicle registration form is not proof of ownership; please do not send this with your application.
      2. This document is required even if you attached it to prior applications.


    Link to 1040 form here

Applicant Information

7/16/2018 ]

Race/Ethnicity (check all that apply)

  

Residence Information

7/16/2018 ]
  

Household Members

Supporting Documents

The following supporting documents must be attached to the application for program eligibility.
  1. Federal Tax Return: the most recent, signed, 1040 Tax Return for each non-renter occupant in your home that is over 18 years old.
    1. If you do not file taxes, please complete and submit the attached 1040 form as proof of income.
    2. Any rental income you receive must be included on your tax return.

  2. WA State Vehicle Certificate of Ownership if your home is a manufactured/mobile home built in 1977 or later. The program does not serve mobile homes built before 1977.
    1. A vehicle registration form is not proof of ownership; please do not send this with your application.
    2. This document is required even if you attached it to prior applications.

Link to 1040 form here

Submit Application

Statement of Application Accuracy

Statement of application completion and accuracy gives protection and exemption of the City from claims; warranty/guarantee limitations and permission for photos.

I declare:


  1. I have examined this statement and to the best of my knowledge and belief, this information is true, accurate, and complete. I agree that if any of the information that I have provided is untrue, inaccurate, or incomplete, all expenses and liabilities will be solely my own with no expenses or liabilities held against the City of Renton.

  2. I have requested the repairs and services from the City of Renton and hereby protect and hold the City of Renton harmless from all claims, demands, and causes of action of any kind or character due to the repairs and services performed on or in my home and poperty. Warranties and guarantees, if any, are limited to those offered by the manufacturer of products installed at the property or by the contractor when a contractor has been retained by the City to perform specified repairs on behalf of the homeowner. The City's responsibility is limited to making payment on the behalf of the homeowner.

  3. I herby give my permission to the City of Renton and the Human Services Division to take photos of my home or property, which might include me, my spouse, child (children) or other household members, for possible use in publications promoting City of Renton programs or activities.

  4. I understand that I am applying to the City of Renton Housing Repair Assistance Program for services to address needs in my home.

  5. I certify that I have owned and lived in this home for at least 12 months and have no intention to sell it within the next 12 months.

By submitting this application I declare that I have read, understand, and agree to paragraphs 1,2,3,4,5, above.

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