Home Improvement Info Form

First Name

Last Name

This form is to be used for informational and non-confidential purposes only. Please do not include any personally identifiable information such as a social security number or birthday. If you need to convey this information please call the agency directly at (207) 626-4600

Please select the program below that your question is about.

Home Accessibility and Repair Program
Well Water Abatement Program
Community Aging in Place Grant
Lead Paint Hazard Remediation Programs
Other... This choice will expand a text box

Question/Comments

New code

Please type the code above

Contact Us
Careers
Privacy Policy
Site Map

26 Edison Drive, Augusta Maine 04330
(800) 452-4668 | (207) 626-4600
Fax: (207) 626-4678 | Maine Relay 711