In most cases, the head of household will be the applicant. In the case of an adult with a severe disability, a legal guardian or a relative who functions as a caretaker can apply for assistance.

To download HOME-New Mexico's application:

click here for the application as a Word Document

click here for the application as a PDF.

Para una Solicitud en Español:

marque aqui para una solicitud en MS Word ó

marque aqui Para una Sloicitud en PDF

HOME-New Mexico's application consists of basic information about the family in need of assistance. The application includes a Certificate of Disability that needs to be signed by a professional who is qualified to assess a person's disability (i.e. doctor or case manager).

Please fill out the application to the best of your ability and mail it back to us at:

HOME-New Mexico
3900 Osuna Rd., NE
Albuquerque, NM 87109

Although you can fax or email a copy of your application, we will need the original application and Certificate of Disability.

 

 

 

For comments or questions, contact homeinfo@homenewmexico.org

© Copyright 2002 HOME-New Mexico, Inc.