Please note, this form is to be filled out by leaseholders only. First Name(required) Last Name(required) Email(required) Phone Address where you would like repairs done(required) Are you willing to participate in the Community Energy Plan? This can be by attending a community engagement or by allowing your house to be assessed for it's energy usage.(required) Yes No What repairs are you in need of?(required) Structural Electrical Plumbing Heating Fire safety Please give more details on the repairs needed: Permission for work or assessment to be done in your house:(required) At any time With 24 hours notice If you call first to arrange a time I agree to have my house assessed and repairs prioritized by Huu-ay-aht staff or hired contractors to determine which will be considered for repair as funds are limited.(required) I agree I disagree I verify that I am the leaseholder of this property.(required) I am the leaseholder I am not the leaseholder This initiative is for health and safety issues only. It is not for cosmetic renovations or business adventures. Once submitted, you will be contacted either by phone or email to have a more detailed application form filled out and submitted. This form is only for an expression of interest and not an application form. Send Δ Share this:PrintEmailFacebookTwitterMoreTumblrPocketRedditLinkedInPinterest
