• 504 Program Eligibility Questionnaire

    Your home must be located within Uniontown City Limits
  • Format: (000) 000-0000.

  • Ineligible for USDA Assistance
    Based on the information provided, you do not meet the eligibility requirements for USDA program assistance. If you believe this decision is in error or would like more information, please contact our office at 724-438-7968.

  • Ineligible for USDA Assistance
    Based on the information provided, you do not meet the eligibility requirements for USDA program assistance. If you believe this decision is in error or would like more information, please contact our office at 724-438-7968.

  • Ineligible for USDA Assistance
    Based on the information provided, you do not meet the eligibility requirements for USDA program assistance. If you believe this decision is in error or would like more information, please contact our office at 724-438-7968.

  • Ineligible for USDA Assistance
    Based on the information provided, you do not meet the eligibility requirements for USDA program assistance. If you believe this decision is in error or would like more information, please contact our office at 724-438-7968.

  • How many current Mortgages are against your home?

  • Ineligible for USDA Assistance
    Based on the information provided, you do not meet the eligibility requirements for USDA program assistance. If you believe this decision is in error or would like more information, please contact our office at 724-438-7968.

  • Ineligible for USDA Assistance
    Based on the information provided, you do not meet the eligibility requirements for USDA program assistance. If you believe this decision is in error or would like more information, please contact our office at 724-438-7968.

  • Household Demographics*
  • Household Demographics*
  • Are there any minors living in the home?*
  • Do you have childcare expenses that enable you to work or go to school?
  • Is anyone in the household 62 years of age or older?*

  • You may be eligible for up to $9,250.00 in grant funding for Health and Safety Repairs. 

  • Is the Head of Household or another member a Veteran?*
  • Is the Head of Household or another member disabled?*
  • If you answered yes, that a member of the household is either 62+ or disabled, do you have medical expenses not covered by insurance?
  • What range does your credit fall into?*

  • Ineligible for USDA Assistance
    Based on the information provided, you do not meet the eligibility requirements for USDA program assistance. If you believe this decision is in error or would like more information, please contact our office at 724-438-7968.

  • Have you ever received USDA 504 Funds before?*

  • If you are over the Age of 62, you can receive up to $10,000 in grant funding in your lifetime. If you have already received grant funding, please be aware that you may not be eligible for any grant or for only a portion of what may be remaining.

  • Do you have any delinquent student loans?*
  • Have you ever filed for bankruptcy?*
  • Have you ever received Weatherization Funds?*
  • Do you receive SNAP benefits?*
  • Do you receive LIHEAP benefits?*
  • Do you have Medicare/Medicaid/Health Insurance?*
  • Should be Empty: