Reimbursement Application

Before you begin the application, please have the following documents ready for upload:

Beginning February 1, 2018 Visual inspections will be required to follow Testing Guidelines outlined by Department of Housing

Contact Information

Status updates will be sent to this email address.

Tested Address

Please enter the address of the home where testing was conducted.  


Start typing the street number and street to select your address. This will autofill your address information below.
 
  (check for yes)  
 

Mailing Address

Testing Information

(if available)
$

  (check for yes)

Test Results (optional)

%
(check off all those that you know)
  Waterproofing on the exterior of the basement
  Waterproofing in the interior walls
  Gutters
  Gutters with downspouts extensions 10 feet from the house
  Capillary break between the footing and the foundation
  Finished basement or partially finished basement
  Footing Drains
  Curtain or French Drain

Supporting Documents

(Please black out any sensitive information including account numbers, social security numbers, etc)
How to Upload

 
(for condos proof of ownership of the foundation)  
(e.g. invoice, canceled check etc.)  

  By checking this box, I do hereby affirm and certify that the above information is true and accurate to the best of my knowledge. I understand that any misrepresentation of information or failure to disclose information requested may disqualify my application. The provision of false information may subject me to the penalties provided by law.