Critical Home Repair Lottery Notification Form
Complete to be notified when the next application is open for Critical Home Repair lottery drawing in November 2026. Completing this form DOES NOT add you to the May lottery drawing. Completing this form means you will be notified when the application for the November 2026 lottery application is available. You must complete the application in May to be entered into the CHR lottery.
Name
First Name
Last Name
E-mail
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Comments
Submit
Should be Empty: