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Apply for Services

Solicitar Servicios

Teacher Helping Student

All Applications

To Submit Documents by Mail or Email:

1826 W. Broadway Rd., Ste. 16

Mesa, AZ 85202


Safe at Home

If you are in need of fall prevention home modification services (grab bars, bathroom assistance devices, a wheelchair ramp, etc.) please review the information on the Safe at Home program page.

Click below for a printable application or submit a request by email. If you do not have access to email or a computer, please call 480-774-0237 to have an application mailed to you.

If you are in need of critical repairs (roofing, plumbing, etc), please complete the appropriate applications below in orange.

Central Phoenix Critical Repair

If you are in need of critical repair services (flooring, plumbing, roofing, etc.) and live in the following zip codes you may be eligible 85003, 85004, 85006, 85007, 85008, 85009, or 85034.

For information, please call 480-774-0237

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