| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Emergency Plumbing Repair Program Application

Thank you for your interest in the Emergency Plumbing Repair (EPR) Program.

Through this new initiative, residents within Wayne County may qualify for Emergency Plumbing Repair assistance. This program is designed to assist residents that have limited access to water during the COVID-19 pandemic.

The goal of this program is that every eligible home will have access to hot and cold water and at least one functioning toilet, bathroom faucet, shower/bath, kitchen faucet, and laundry tub. It is also the program goal that the house has functioning wastewater drainage for water access to be sustainable in the home.

Before you get started please gather the following information/documents:
Money graphicTotal household income for the last 30 days from today's date for ALL household members. Types of income may include: employment, federal/state benefits, child support, unemployment, self employment, odd jobs, family/friend support, non-traditional income.
ID graphic 
 ID for applicant
MDHHS Logo 
 State benefit letter (if applicable)
After completing this application, a member of our team will contact you. Please check your email (spam folder) and text messages for updates and inquiries from our team.

If you have trouble completing the application, please contact our call center 313-388-9799.

Please submit only one application

We highly encourage applicants to share their email address. Clients that enter an email address will be sent a copy of their application.

County of Residence


Water System


Water Account Information






Well / Septic System Questions





Wayne Metro Release of Information

CONSENT:  I/We hereby allow Wayne Metropolitan Community Action Agency, its agents, employees, sub-contractors or affiliates to communicate with and request information from all housing, utility and income providers listed on Wayne Metro's related forms and to enter my/our personal information into the applicable program databases. This release expires two (2) years from the date of application. I agree that photocopies of this authorization may be used for the purposes stated above.  

Program Denial
Clients that do not give consent will be denied for this program. We must be able to share your information with our program partners (e.g. plumbing contractor, water department) in order to enroll in this program.

Head of Household (Applicant Information)

Please complete your contact information.




Month/Day/Year (4/3/1965)








Plumbing Situation


Additional Plumbing Information











Head of Household Demographics 







Eligibility Documentation

Please upload as much documentation as possible. It is required that we receive your ID before we can process your application.

Applications that include additional documentation may be expedited



Please review the list of benefits offered by the State of Michigan:

- Food assistance (FAP)
- Medicaid
- State Emergency Relief
- Cash assistance (TANF)
- State Disability Assistance (SDA)
- Has a child enrolled in Head Start
- Another MDHHS program not listed


Household Income

Income



I self-declare that the income information I provided within this application is true. 

FPL
Please review the chart below and locate the number of household members that corresponds with your household. For example, the maximum annual income for a household of 4 is $52,400.

Please verify your income is either equal to or below the maximum annual income. 
FPL
I self-declare that my annualized household income is equal to or below the maximum income that is listed in the chart above

By acknowledging this statement, you are guaranteeing under penalty of law, that the household and income information in this section is accurate and true.

Occupancy and Ownership Information









We will need a signed agreement from your landlord before any plumbing repairs can be completed at the property.

Please click here for a copy of the agreement: https://drive.google.com/file/d/1vHe61TMSoEQxtNUaKcgxvDY-baFtjRnX/view?usp=sharing

Digital Signature Requirement

Please sign below after reading the following information, otherwise this application will be considered incomplete.

Under penalties of perjury, I swear or affirm that this application has been examined by or read to me. If I am a third party applying on behalf of another person, I swear that this application has been examined by or read to the applicant. 
To the best of my knowledge, the facts are true and complete.

Emergency Plumbing Program Denial

We’re sorry, but according to the information you provided, you are not eligible for Emergency Plumbing Repairs.

This program is only available to income-eligible residents of Wayne County that have limited access to water. It is not intended to repair leaks.


If you live outside of Wayne County, please contact your local Community Action Agency. They may be able to connect you with a similar program in your area. 


If you are experiencing plumbing issues that can be resolved through minor plumbing repairs, please consider enrolling in our WRAP program. The WRAP Home Water Conservation Program can assist with supply-related issues only. In order to find out more about WRAP, please visit our website at http://www.waynemetro.org/wrap/.


We would love to hear from you if you have any questions. Please feel free to call our CONNECT Center at (313) 388-9799.