Residential Culvert Assistance Program Application

Residential Culvert Assistance Program Application
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Additional Phone Number
Please enter a valid phone number.
Email (Optional – but highly recommended)
example@example.com
Have you owned your home for at least 1 year?*

YesNo
Is the property your primary residence and in your name?*

YesNo
How many people reside at your home?*
Does the total gross household income (of all the people that reside at the home) fall within the limits listed below?*

YesNo

2025 Income Limits by Family/Household Size:

Family Size	Max Gross Income (before taxes)
1	$53,050
2	$60,600
3	$68,200
4	$75,750
5	$81,850
6	$87,900
7	$93,950
8	$100,000

Unfortunately, you do not meet the income requirements to qualify for the grant. However, you may still be eligible to take advantage of our 10-year interest-free financing option to help cover the cost. Please call the Neighborhood Services Department Housing Division at 772-344-4084 to learn more.
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