To qualify for consideration as a Rebuilding Together recipient, you must OWN and OCCUPY the home, and it must need repairs or modifications to make the home accessible, safe, and/or healthy.

You must be unable to do the work yourself.

Your household income must be “Low Income” based on the following HUD guidelines (2007):

# Living in Household	Annual Income Less Than...	or Monthly Income Less Than...
1	$41,450	$3,454
2	$47,350	$3,946
3	$53,300	$4,442
4	$59,200	$4,933
5	$63,950	$5,329
6	$68,650	$5,721
7	$73,400	$6,367
8	$78,150	$6,513

PLEASE CALL 714-667-8174 IF YOU NEED MORE INFORMATION OR HAVE ANY QUESTIONS

Application for Homeowners (pdf) (word)

Application for Nonprofits (pdf) (word)

Consider when filling out the application:

• Do any appliances need to be replaced?
• Are smoke alarms needed?
  
• Do any cabinets need to be fixed or replaced?
  
• Do any faucets need to be fixed or replaced?
  
• Does the toilet need to be fixed or replaced?
  
• Does the water heater need to be fixed or replaced?
  
• Do any water line need repairs?
  
• Does the sewer line need repairs?
  
• Are grab-bars needed in the bathroom?
  
• Are handrails needed at the entry or stairs?
  
• Does the sub-flooring need to be repaired?
  
• Does any vinyl flooring need to be replaced?
  
• Does any carpeting need to be replaced?
  
• Do any drapes or blinds need to be replaced?
  
• Is there any need for drywall repairs?
  
• Is there any need for plaster or stucco repairs?
  
• Is there unsafe electrical wiring that need to be repaired?
  
• Are there any electrical outlets that need repair?
  
• Should lighting be improved or repaired?
  
• Does the furnace need to be fixed or replaced?
  
• Is interior painting needed?
  
• Is exterior painting needed?
  
• Do any stairs or railings need to be fixed?
  
• Does the screen door need to be fixed or replaced?
  
• Do any window panes need to be fixed?
  
• Do any window screens need to be fixed?
  
• Does the yard fencing or gate need to be repaired?
  
• Is there yard cleanup that would be helpful?
  
• Are there trees and shrubs that should be trimmed?
  
• Is the garage door easy to use? Would an automatic opener be helpful?
  
• Is there interior cleanup that would be helpful?

714/667-8174 · info@rebuildingtogetheroc.org · P.O. Box 329, Tustin, CA 92781