Toledo Healthy Homes and Weatherization Cooperation Demonstration

A collaboration between the City of Toledo and Neighborworks Toledo that provides free home weatherization and lead abatement measures for those who qualify. Health-related information is not required, but helps us to serve you better.

Name(Required)

First Last

Property Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Est. Annual Household Income(Required)

How many people live in your household?(Required)

Please enter a number from 1 to 15.

Do you rent or own your home?(Required)

Are you current on mortgage payments?(Required)

Are utilities in your name?(Required)

Have you received HEAP or PIPP assistance in the last 12 months?(Required)

Does anyone in your home suffer from asthma, COPD, or other chronic pulmonary issues?

Is anyone in your household (check all that apply)

62 or older

6 or younger

Pregnant

Healthcare Partner(Required)

ProMedica, Mercy, Centene, HCNO, etc.

Referrer Name(Required)

First Last

Referrer's Email(Required)

Referrer's Phone(Required)