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 take 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 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/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 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 plumbing program is at capacity.  Should new funding become available, we will reopen the application. We appreciate your understanding.
 
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,  the mortgage program is at capacity.  Should new funding become available, we will reopen the application. We appreciate your understanding.
 
The weatherization application section is not currently available. Please check back again later. Thank you.
 
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/

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/Formula Assistance




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. 



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








Participant Agreement
This partial 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). A full and detailed agreement will be provided to you once you have been successfully enrolled.

  • Maximum total financial assistance per household per year - up to $1000.
  • Maximum participation in the WRAP Program is up to two (2) years, must apply for re-enrollment after year one (1).
  • I agree to provide all required documents to qualify for services.
  • Water bill payment is limited to $25 credit per month per household ($300 annually).
  • I agree to pay all current charges issued by my city/municipality (monthly, bi-monthly, quarterly).
  • Financial assistance for past-due water payments up to $700 per household annually for cities participating in past-due payment assistance. All cities do not participate.
  • If I am a homeowner with above average usage I must agree to schedule a Home Water Audit and be present when it takes place.  An average one-time benefit for eligible WRAP Home Water Conservation Audit is $1500. (Optional for Renters).
  • I must report WRAP assistance if I receive Subsidized Housing Assistance.
  • Missing two (2) payments within 12 months of enrollment date will result in removal from the program.
  • Supportive services will be offered to me.
  • I agree to adhere to all WRAP guidelines as outlined in the full agreement sent to me.

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.

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 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.

Ownership Information

This program can only work on one unit in a multi-family home. The address listed within this application will be the only unit eligible for plumbing services.


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




Occupancy Information
This program is designed to provide plumbing services to occupied homes.

Each household needs to upload two pieces of documentation verifying the property is occupied. The name and address listed on the paperwork needs to match the information found within this application.

We can accept the following documents as proof of occupancy:
  • Driver's license
  • Utility bill
  • Water bill
  • MDHHS benefit letter
  • Voter's registration
  • Cable/internet bill
  • Another official piece of mail



Energy Information




Water Account Information


Plumbing Situation

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

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 plumbing services at Wayne Metro. Please provide your landlord's contact information below so we can share the required form. 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

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.

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

© Copyright 2021 Wayne Metro Community Action Agency.