Wayne Metro Universal Application

| 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.

Welcome!

Welcome to Wayne Metro's Universal Application form, where you can apply for multiple services via a single form. Please check our website for a detailed listing of programs and requirements.

Please have relevant documents ready to upload, such as your ID, proof of income, utility statements, mortgage statements, etc. Only image documents (jpg/png) or PDF format will be accepted. If using a mobile device, you can directly take photos of your documents as you complete the form.


Non-Wayne
Please contact Wayne Metro’s CONNECT Center at (313) 388-9799 to be connected to the Macomb, Oakland, Lapeer or Genesee/Flint County resources.

Please note that an application submission does not mean it has been approved. Approval of applications is subject to program eligibility guidelines and funding availability.

Before proceeding, please read and agree to the following statement that allows us to process your information.

CONSENT:  I 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 personal information into the applicable program databases. I also confirm I have provided information about additional family members with their consent and approval. I also consent to Wayne Metro communicating with me via email, phone, text or postal mail as needed.

This release expires two (2) years from the date of application. I agree that copies of this authorization may be used for the purposes stated above.  

Program Denial
Clients that do not give consent will be denied for these programs. We must be able to share your information with our program partners in order to enroll in these programs.

Services





 
Due to the high demand, the funeral program is at capacity.  Should new funding become available, we will reopen the application. We appreciate your understanding.
 
Due to the high demand, please call (313) 244-0274 to be assessed for mortgage assistance programs.
 
Due to the high demand, the weatherization program is at capacity.  Should new funding become available, we will reopen the application. We appreciate your understanding.
 
Due to the high demand, the diapers program is at capacity.  Should new funding become available, we will reopen the application. We appreciate your understanding.
 
Due to the high demand, please call (313) 244-0274 to be assessed for property tax assistance programs.
 
Due to the high demand, the Energy/Utility Assistance program is at capacity.  Should new funding become available, we will reopen the application. We appreciate your understanding. If you are a homeowner, please apply for SER, and if you are a renter, please apply for CERA support.
 
If you require rental assistance in Out-Wayne County, please contact (734) 284-6999.   
If you require rental assistance in Detroit, Hamtramck, or Highland Park please contact (866) 313-2520. You also check our COVID Emergency Rental Assistance (CERA) program page at https://www.waynemetro.org/cera/
To schedule an income tax preparation intake appointment, please click here.

Your Information

Please complete all of the following questions.





Month/Day/Year (04/03/1965)


Ex. example@gmail.com





















Your Information (Continued)









Please include all sources of income in the sections below.

$

$















Household Member 2





Month/Day/Year (04/03/1965)














Household Member 3





Month/Day/Year (04/03/1965)














Household Member 4





Month/Day/Year (04/03/1965)














Household Member 5





Month/Day/Year (04/03/1965)














Household Member 6





Month/Day/Year (04/03/1965)














Household Member 7





Month/Day/Year (04/03/1965)














Household Member 8





Month/Day/Year (04/03/1965)














Household Member 9





Month/Day/Year (04/03/1965)














Household Member 10





Month/Day/Year (04/03/1965)














Food Support
Food Support




Diapers/Formula Assistance
Diapers Assistance


Please make sure you have included the child in need of diapers as a member of your household. 


Funeral Assistance
Funeral Assistance







$

(funeral home invoice or death certificate/statement of death)

(funeral home invoice or death certificate/statement of death)

Energy/Utility Assistance
Energy/Utility Assistance

MEAP (Michigan Energy Assistance Program) provides energy assistance and self sufficiency services to eligible low income households. 

“Eligible low-income household” means a household with an income of not more than 150% of the Federal Poverty Guidelines. Eligible households should be in crisis to qualify for MEAP funds. 

“Crisis” means one of the following: 
  1. An individual or recipient has received a past due notice on an energy bill for his or her household (a shut off or disconnect notice is not required); 

  2. A residential fuel tank is estimated to contain no more than 25% of its heating fuel capacity;

  3. A stated need for deliverable fuel or a nontraditional fuel source in which there is no meter or regular energy bill provided; or 

  4. A notice that the balance in a prepayment account is below a minimum amount.
YOU MUST APPLY FOR AN SER (State Emergency Relief) FIRST TO QUALIFY FOR MEAP SERVICES.

True self-sufficiency is about you providing for yourself or your family without public assistance. The focus is to move people off financial aid. Each person works with our Self-Sufficiency staff to achieve their individual goals.

The services in the program include:
  • Heat and energy assistance
  • Budgeting and financial planning
  • Connecting with local resources
  • Energy efficiency and waste reduction
  • Financial literacy education

SER Requirement
The first step in receiving MEAP Assistance is to apply for State Emergency Relief (SER) through MDHHS. Please visit newmibridges.michigan.gov to apply.  Once your approved decision is received, you may come back to Wayne Metro to apply for additional assistance. If you do not have an approved SER and are a renter, you may also get support from the CERA program. Please visit https://www.waynemetro.org/cera/ for details and to apply.
Utility Details



MM/DD/YYYY

$
Note: The annual cap for MEAP Assistance is $2,000 per household. Any amount over $2,000 is the responsibility of the applicant. No payment can be made on your account until the difference is paid.
ENERGY PROVIDER PROGRAM QUESTIONS












$
DELIVERABLE FUEL - Complete this section if applicable







AFFORDABLE PAYMENT PLAN (LSP/CARE/MAP)
Affordable Payment Plans (APP) are low, affordable fixed monthly payment plans available to low income households. Payment amounts are based on your income as well as your energy consumption. Payment plans last for up to 2 years with very affordable payment options. You must have a past due balance for APP’s and arrearages must be $4,000 or below. DTE’s LSP, Consumers CARE and SEMCO’s MAP Programs offer you the ability to qualify for payment plans between $50-$130/month. The remaining portion of their energy bill and arrears forgiveness are paid monthly by the agency. Once enrolled, you are protected from shut off until you complete or are removed from the program. Wayne Metro can utilize affordable payment plans to satisfy SER copayments. You also have the option of a direct payment up to $2000 on your energy account to satisfy an SER copayment



ENERGY EDUCATION

FINANCIAL COUNSELING

Water Assistance
Water Assistance


Please note that you must complete the Water Assistance section to be considered for minor plumbing assistance.







Participant Agreement



What you can expect
  • Maximum total financial assistance per household per year - up to $1,200. Payments may take one to two billing cycles to appear on your account based on your billing cycle
  • Water bill payment is limited to $25 credit per month per household ($300 annually)
  • Homeowners with at or above average usage must agree to schedule a Home Water Audit and be present for the appointment. The one-time Home Water Conservation Audit averages $1,500 per household (Optional for Renters)
  • Supportive services will be offered

What is expected of you
  • Pay all current charges issued by the city/municipality (monthly, bi-monthly, quarterly). Your water vendor may require you to deduct the credit payment from your current charges (Check with your municipalities WRAP representative regarding any credit deductions from your payment)
  • Report WRAP Assistance payments to designated Housing Authority if receiving Subsidized House Assistance
  • You may re-apply for WRAP one month after your current enrollment year ends. Supporting documents will be required
  • Missing payment inquiries must be submitted within 6 months after enrollment year ends
Don't Forget

  • Two missed payments within 12 months of enrollment will cause you to be removed from WRAP and put you at risk for shutoff. You may be eligible to re-enroll 6 months from removal date.  (Partial and late payments are considered missed payments). You may request an appeal of the decision in writing within 10 days of receiving a removal notice. Please contact the Wayne Metro Connect Center (313.388.9799) or visit waynemetro.org for additional resources
  • Participation in the WRAP Program is up to two (2) years
  • Eligible clients who have completed 2 years of WRAP without missing two payments in an enrollment year may be eligible for WRAPFinity if there is a household member 62 years or older or disabled receiving federal benefits
This agreement demonstrates your intent to adhere to the terms and conditions for participation in the Great Lakes Water Authority (GLWA) Water Residential Assistance Program (WRAP).



Pre-Screen for State Emergency Relief (SER)






Eligible residents of Detroit can receive up to $175 from DHHS towards your water past due balance in addition to enrollment in WRAP.
Other Water Funding
Additional water funding is available to US Citizens and legal residents.

Other Water Funding - Additional screening questions




Month/Day/Year (04/03/1965)

Mortgage Assistance
Mortgage Assistance

You must be behind on your mortgage/land contract payments to qualify.




$





Rent Assistance
Rent Assistance

You must be behind on your rent payments, and the lease must be valid, to qualify. 





$

Put 0 if not behind, otherwise number of payments behind


Property Tax Assistance
Property Tax Assistance

How can Wayne Metro help homeowners with property taxes?

Wayne Metro can help homeowners submit the Poverty Tax Exemption (PTE: Out-Wayne) application or connect you to an agency partner for assistance with the Homeowner Property Tax Assistance Program (HPTAP: Detroit only) application for current year taxes. Depending on your household’s income, you may be eligible to receive financial assistance for your delinquent property taxes owed to the Wayne County Treasurer’s Office.

Unfortunately, The Wayne Metro CARES Relief & Recovery Services are only offered for residents of Wayne County. Please contact your local Community Action Agency to inquire about possible assistance through CARE. 






For current year taxes, Wayne Metro can help homeowners submit the Poverty Tax Exemption (PTE: Out-Wayne) application or connect you to an agency partner for assistance with the Homeowner Property Tax Assistance Program (HPTAP: Detroit only) application for current year taxes. Direct financial assistance is not available for current year taxes.
Wayne Metro can only assist with an owner/occupant property that is in your name. Please contact UCHC for assistance with tenant or ownership issues prior to taking action.

UNITED COMMUNITY HOUSING COALITION (UCHC)
(313) 405 - 7726
www.uchcdetroit.org

If you are a tenant seeking eviction resources, you can reach out to the City of Detroit’s Eviction Diversion Program at 866-313-2520. Tenants may also reach out to the UCHC Tax Hotline at 313-405-7726 for information on the Make It Home program.

You may also be eligible for assistance through the COVID Emergency Rental Assistance (CERA) program.




There is a new program called the Detroit Tax Relief Fund for Detroit residents. 

What does the DTRF program help with?

The DTRF program helps with getting your back taxes paid off, and making sure you know how to use the City of Detroit Homeowner Property Tax Assistance Program (HPTAP) every year to remain debt free. 

How does the program work?

The first step of this program is to apply and be approved for the
City of Detroit HPTAP for current year property taxes. Some homeowners
have already been approved for the HPTAP, and we’ll be able to
verify if you have been. If not, we will assist you with connecting
to a trained HPTAP counselor who will help you apply.

Next we’ll collect some information from you to get you to the right next step for help with your property taxes.

Below are the income guidelines for the City of Detroit’s HPTAP, which are based on household size and income.

$
per year.
(If your household size is larger than 10 persons, add an additional $5,018 for every additional person).


While income guidelines are a starting point for determining eligibility, the City of Detroit Board of Review makes the final determination on all applications. We always encourage homeowners to apply and allow the Board of Review to decide.


Plumbing Assistance
Plumbing Assistance

Thank you for your interest in the WRAP Minor Plumbing Repair Program.

The WRAP minor plumbing repair program is designed to reduce the overall water usage in a home through education, conservation measures, and minor plumbing repairs to fix leaks.

In order to help achieve a healthy and safe home, the WRAP minor plumbing repair program will also attempt to ensure that a home has access to one working toilet, one working shower or bath, one working kitchen faucet, one working bathroom faucet, and hot and cold water.  

Please note that this program is for minor plumbing repair only. Major plumbing repairs such as basement back ups or sewer line work are not eligible.

Additional Plumbing Information








Additional Documentation
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


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.


Weatherization Assistance Program

THE WEATHERIZATION ASSISTANCE PROGRAM enables low-income families to permanently reduce their energy bills by making their homes more energy efficient. In operation since 1976, the Weatherization Assistance Program is the largest energy efficiency program our nation’s history and saves more money than it costs.

HOW DOES THE PROGRAM WORK? Weatherization provides energy efficiency services that are tailored to each house for maximum cost savings. Families receiving weatherization services see their annual energy bills reduce by an average of $250 to $450.

ARE THERE ANY OUT OF POCKET COSTS? No! All payments for work and materials are paid directly to the contractors or vendors by Wayne Metro.

WHAT WEATHERIZATION SERVICES CAN I RECEIVE?
• Wall Insulation
• Attic Insulation and Ventilation
• Foundation Insulation
• Air Leakage Reduction
• Smoke Detectors
• Dryer Venting
• Carbon Monoxide Detectors

This application is for properties with 1 to 4 units.

Home Assessment Questions
We are going to ask you a few questions that can help us determine if your home is ready for weatherization. We ask for photos of your home during this section. It is best if you complete this part of the application while you are at home.
Roof Condition Descriptions



The presence of asbestos-containing material does not necessarily present a hazard. Asbestos is most hazardous when it is handled or disturbed. Do not disturb or remove asbestos in your home. Asbestos must be removed by a licensed professional. 
Asbestos Examples



Energy Information







Residence Information






Home Ownership Information

Owner Information




Landlord or Property Management Information
Landlords must sign a consent form in order for renters to receive weatherization services at Wayne Metro. Please provide your landlord's contact information below so we can share the required form. Including an email address with expedite the process.
 You can access our Landlord Agreement here. 




Wayne Metro's Weatherization Assistance Program is only available to Wayne County residents.

If you are interested in receiving weatherization services and you live in Washtenaw County, please contact Washtenaw County Office of Community & Economic Development (OCED) at 734-544-3008.

If you are interested in receiving weatherization services and you live in Monroe, Lenawee, Jackson, or Hillsdale County, please contact Monroe County Opportunity Program (MCOP) at 734-241-2775 ext. 803.

Please contact Wayne Metro’s CONNECT Center at (313) 388-9799 to be connected to the Macomb, Oakland, Lapeer or Genesee County/Flint weatherization provider.

Thank you for beginning the Weatherization process! A member of the weatherization team will contact you within 30 days.

Digital Signature Requirement





Digital Signature

Please remember that approval of applications is subject to program eligibility guidelines and funding availability. 

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, and I have approval and authorization to disclose them in this application to request services.


If interested, we will contact you with opportunities to volunteer at Wayne Metro.

Flood Assistance

Assistance provided for property that cannot be covered through other funding sources (i.e.: Personal Property Flood Insurance)

I attest that the following information is truthful and accurate to the best of my knowledge




Unfortunately you are not eligible for this application
Personal Items
What items did you lose in the June 25th and 26th 2021 Flood?






Daily Items



Cleaning Products/Services



Relocation Details





Miscellaneous Expenses



Home Repair Work



Please Upload the Documents Below






Save my progress and resume later | Resume a previously saved form

© Copyright 2021 Wayne Metro Community Action Agency.