Holbrook, AZ · Navajo County
Housing Rehabilitation Application
Holbrook residents seeking housing rehabilitation assistance use this application to describe their household, income, home, and needed repairs to the city.
What this form is
Use this application when seeking housing rehabilitation assistance from the City of Holbrook. It asks for applicant and household details, gross monthly income, home systems and ownership information, and health or safety concerns. Applicants also describe other needed repairs and disclose relevant code violations or prior improvements; the form includes a signature and date.
Who needs it
Holbrook residents seeking housing rehabilitation assistance for their home should complete the application with household, income, and repair information.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; it requests a copy and explanation of any City code violation, but does not say either must be notarized.
How to submit this form
- 1
Download the Application
Download the Housing Rehabilitation Application PDF.
- 2
Complete the Application
Enter applicant and household details, income, home information, and descriptions of needed repairs.
- 3
Gather Any Attachments
If you are under a City code violation, attach a copy and briefly explain it.
- 4
Sign and Submit
Sign and date the application, then submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the Housing Rehabilitation Application ask for?
- It asks for applicant and household information, gross monthly income, home details, needed repairs, and information about ownership, insurance, and other property.
- Do I need a notary for the Housing Rehabilitation Application?
- No. The application is signed and dated without a notary. If you report a City code violation, it asks you to attach a copy and briefly explain it, but does not require notarization.
- How do I submit the Housing Rehabilitation Application?
- Submit it to the city department named on the form; check the city website for current contact details. The document does not specify a submission method.