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Apply for Services

Solicitar Servicios

Teacher Helping Student

All Applications

Proof of Income Documentation for Each Household Member:

  • Bank statements from the previous three months;

  • Income Tax Return from the previous year (If filed); and

  • Social security or disability award/determination letter, OR three most recent payroll check stubs

(Don't forget to block out social security and bank account numbers)​

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 click the online application button below. Proof of income can be uploaded to the online application.

En Español:

Si necesita servicios de modificación del hogar para la prevención de caídas (barras de apoyo, dispositivos de asistencia en el baño, una rampa para la silla de ruedas, etc.), oprima a continuación para descargar una solicitud.

Para la aplicación en español, oprima aquí.

Gilbert Critical Repair

If you are in need of critical repair services (flooring, plumbing, roofing, etc.) and live in the Town of Gilbert, please print the application below. Mail or email your application and proof of income together.

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