Homeowners Application
Preliminary Application for Home Improvement Program (HIP)
Below is the list of municipalities where CGP&H administers their Home Improvement/Rehabilitation Program. Please check off which town you live in and are applying for assistance.
Please select...
Abington
Bernardsville
Beverly
Bloomingdale
Bound Brook
Clark
Cranford
Denville
East Hanover
East Windsor
Eatontown
Edison
Fairfield
Flemington
Florham Park
Freehold Borough
Glen Rock
Hillsdale
Holmdel
Howell
Kearny
Lincoln Park
Little Falls
Livingston
Mahwah
Manchester
Maplewood
Marlboro
Milltown
Montclair
Montvale
Montville
Morristown
Mount Holly
New Brunswick
New Milford
Oakland
Old Bridge
Palmyra
Perth Amboy
Pittsgrove
Raritan Borough
Ridgefield
Roselle Park
Rumson
Sayreville
Scotch Plains
South Orange
Sparta
Stafford
Totowa
Waldwick
Watchung
Woodbridge
Woodland Park
PLEASE NOTE: This application applies to New Brunswick, New Jersey in the USA.
It is NOT for New Brunswick in Canada.
PLEASE NOTE: This application applies to Fairfield Township in Essex County not in Cumberland County.
Please provide the following information about your household:
First Name
Last Name
Street Address
City
State
Zip Code
Email
Primary Phone
Primary Phone Type
Please select...
Cell Phone
Home Phone
Work Phone
Fax Number
Relative's Phone
Friend's Phone
Other
Alternate Phone
Alternate Phone Type
Please select...
Cell Phone
Home Phone
Work Phone
Fax Number
Relative's Phone
Friend's Phone
Other
How many people live in your household?
Please select...
1
2
3
4
5
6
7
8
What is the gross annual income combined for all adult household members?
Income includes, but is not limited to: Gross wages, salaries, tips, commissions, overtime, alimony, child support, pensions, and social security, unemployment and disability benefits.
x
If you do not want to provide your gross annual income at this time, is your total gross annual income of all adult household members combined less than income listed for your household size under your municipality on this webpage?
Please select...
Yes
No
To visit the Bloomingdale Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Abington Owner Occupied Housing Rehabilitation Program Website for Income Limits:
CLICK HERE
To visit the Livingston Township
Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Clark Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Bernarsdsville Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the New Milford Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the East Hanover Home
Improvement Program Website for Income Limits:
CLICK HERE
To visit the Fairfield Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Bound Brook Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Cranford Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Denville Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the East Windsor Housing Rehabilitation Program Website for Income Limits:
CLICK HERE
To visit the Eatontown Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Florham Park Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Freehold Borough Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Hillsdale Borough Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Holmdel Township Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Howell Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Kearny Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Little Falls Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Manchester Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Mahway Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Maplewood Township Affordable Housing Program Website for Income Limits:
CLICK HERE
To visit the Marlboro Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Milltown Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Montclair Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Montvale Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Montville Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Mount Holly Housing Rehabilitation Program Website for Income Limits:
CLICK HERE
To visit the New Brunswick Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Oakland Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Old Bridge Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Palmyra Housing Rehabilitation Program Website for Income Limits:
CLICK HERE
To visit the Pittsgrove Township Housing Rehabilitation Program Website for Income Limits:
CLICK HERE
To visit the Ridgefield Township Housing Rehabilitation Program Website for Income Limits:
CLICK HERE
To visit the Roselle Park Improvement Program Website for Income Limits:
CLICK HERE
To visit the Scotch Plains Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the South Orange Village Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Stafford Township Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Totowa Home Improvement Program Website for Income Limits:
CLICK HERE
To visit the Woodbridge Home Improvement Program Website for Income Limits:
CLICK HERE
Is your home a single or multi-family house
Please select...
Single Family House
Multi-Family House
If this is a multi-family house, how many units are in the property?
Is this a Co-Op or Mobile Home?
Please select...
Yes
No
Is there a concern within the home, if not immediately remedied, that could cause an immediate threat to health/safety?
Please select...
Yes
No
Please Select the Health/Safety Concern Type
Please select...
Heavily Leaking Roof
Inoperable Heating System
Limited Access to Portable Water
Lack of Sanitary Plumbing
None
Is this a rental property?
Please select...
Yes
No
Is this home occupied year-round?
Please select...
Yes
No
What year was your house built? If exact year unknown-provide time period such as decade
Are the property taxes for this home paid up to date?
Please select...
Yes
No
Do you have an active bankruptcy?
Please select...
Yes
No
Is the home a deed-restricted affordable home?
Please select...
Yes
No
Is your home located in a flood zone?
Please select...
Yes
No
Do you live in Freewood Acres and currently have septic and/or well to convert to the municipal sewer and/or water main?
Please select...
Yes
No
Do you live in Pine Tree Mobile Village Mobile Home Park and seek gas meter hook up?
Please select...
Yes
No
What type of major work does your house need?
Hurricane Ida
Was your home damaged by Hurricane Ida?
Please select...
Yes
No
If so, please contact FEMA and your homeowner’s insurance carrier before submitting
Hurricane Sandy
Was your home damaged by Hurricane Sandy?
Please select...
Yes
No
If yes, did you apply to FEMA?
Please select...
Yes
No
If yes, did you use homeowner's insurance?
Please select...
Yes
No
If yes, did you receive Sandy Relief from your municipality?
Please select...
Yes
No
How did you hear about Program?
Please select...
Municipality
Flyer
Newspaper
Advertisement
Family Member/Friend
Program Participant
CGPH: Social Media
Municipality: Social Media
Other
Signature
I certify that the information provided herein is true and complete and that any misrepresentation of income or household size reported herein
may be cause for program disqualification. I also understand that this information is to be used only for determining my preliminary eligibility
and does not obligate me in any way.
E-Signature
Submission Date
You will receive notification that your Preliminary Application was successfully submitted. If you do not receive this notification, please resubmit your Preliminary Application.
Contact Information