Cheyenne and Arapaho Housing Authority Tribal 2024 Elder Lawn Care Service Funds
Applicant Name:
First Name
Last Name
Roll#:
*
DOB:
Elder:
*
Yes
No
Handicap:
Yes
No
Physical Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County:
Contact Number:
*
Phone Number Required.
Message Number
*
Phone Number Required.
Directions to Home:
*
GUIDELINES
Must be 55 or Older
Home and Property must be owned and occupied by Cheyenne and Arapaho Member
Cheyenne and Arapaho Housing Authority are held harmless from any claims of damages or injury to property or persons
Elder Lawn Cutting is limited to the (11) Eleven county Tribal Service Area
Lawn Must be free and clear of any debris, contactor is not responsible for picking up yard trash
The Executive Director makes the final decision on any exceptions
I hereby acknowledge and agree to the above guidelines for the 2024 Elder Lawn Cutting Funds
*
Submit
Should be Empty: