Homeowner Assistance and Reconstruction Program (HARP) Eligibility Questionnaire

Homeowner Assistance and Reconstruction Program (HARP) Eligibility Questionnaire

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Please complete and submit the Eligibility Questionnaire to determine if you are qualified to apply for HARP. This questionnaire should take about 15-30 minutes to complete. Do not close or refresh the page until you are finished and have submitted your responses.

The information you provide will be used to determine your eligibility and whether your household is invited to apply for HARP, so read carefully and fill out the questions below as accurately as possible. If you are not eligible, you may qualify for other ReOregon programs and will be notified when they open.

Do not submit more than one form per household. Multiple form submissions will not speed up the process but slow it down as we verify the submissions. If you need to correct your submission or are unsure if you have already submitted a form, please call or email us.

You can contact us at 877-510-6800 or 541-250-0938 for help over the phone or text (SMS). You can also request an in-person appointment with a local partner organization. For more information, please visit our website at re.oregon.gov or email your questions to housingsupport@reoregon.org.

SECTION 1: Information About You and Your Household

1. Legal First Name*

2. Legal Last Name*

3. Chosen/Preferred Name

A name that you use that is different from your legal name.

4. Preferred Language*

Select

What is your preferred language?*

5. Email*

Important communications regarding HARP will be sent via email. Steps to create a free account can be found here.

For support creating your free email address or exploring alternative options, you can find your local partner organization's contact information by following this link.

6. Phone Number*

Phone

7. What is the best way to contact you?*

Select

When is the best time to reach you?*

Select

8. Is there another member in the household who makes financial and/or legal decisions about the damaged property?*

(Example: An additional owner occupant of the home, such as a spouse, parent, or someone with power of attorney, etc.)

Select

Additional Member's Contact Information:

Legal First Name*

Legal Last Name*

Chosen/Preferred Name

Email*

Phone Number*

Phone

SECTION 2: Information About Your Damaged or Destroyed Home

9. Did you own a home or inherit a home that was damaged or destroyed by the 2020 Labor Day wildfires and straight-line winds?*

Qualified disasters: 242, Almeda, Archie Creek, Beachie Creek, Echo Mountain, Holiday Farm, Lionshead, Riverside, or South Obenchain fires

Select

10. Was the damaged or destroyed home your primary residence at the time of the event?*

Your primary residence is the home you live in for more than half of the year.

Select

11. In which county is the damaged or destroyed home located?*

Select

12. Damaged or Destroyed Property Address:

Street Address*

Apartment, Suite, Unit, Building, etc. (optional)

City*

State*

Zip Code*

13. What is the current status of the rebuild or replacement of your damaged or destroyed home?*

Please select from the options below:

Select

Please select one or more of the following statements which most accurately describe your situation:*

Select

Please select from the following statements the one which most accurately describes your situation:*

Select

What year did you sell the home and/or land?*

14. What type of property structure was your damaged or destroyed home?*

Please select from the options below:

Select

15. How many people will be in your household?*

When counting household members, please only count people who will be living with you if you are eligible for HARP. Household members are defined as adults and children, or individuals who share the same house, whether they are related or unrelated, and regardless of age. Please do not count temporary members in the household, such as foster children, wards, and employees, or tenants.

Select

Each year, the US Department of Housing and Urban Development (HUD) calculates the area median income (AMI) for each county. The household income definition used is annual income as defined by the IRS as “Adjusted Gross Income." (For the full definition click here).

The table below displays the three AMI levels for households of one to eight people in the county you selected.

If you selected "Other" as your county, you will need to use HUD's website to find the income level for your household in order to answer the question below. If you need help understanding HUD's site, please contact the Call Center at 877-510-6800 or 541-250-0938 or email housingsupport@reoregon.org.

Below is the income table for Clackamas County.

Household

Size | 80% AMI | 100% AMI | 120% AMI

1 $69,550 $86,900 $104,250

2 $79,450 $99,300 $119,150

3 $89,400 $111,700 $134,050

4 $99,300 $124,100 $148,900

5 $107,250 $134,100 $160,850

6 $115,200 $144,000 $172,750

7 $123,150 $153,900 $184,650

8 $131,100 $163,900 $196,550

Below is the income table for Douglas County.

Household

Size | 80% AMI | 100% AMI | 120% AMI

1 $46,850 $58,600 $70,200

2 $53,350 $66,900 $80,250

3 $60,250 $75,300 $90,300

4 $66,900 $83,600 $100,300

5 $72,300 $90,300 $108,350

6 $77,650 $97,000 $116,350

7 $83,000 $103,700 $124,400

8 $88,350 $110,400 $132,400

Below is the income table for Jackson County.

Household

Size | 80% AMI | 100% AMI | 120% AMI

1 $51,750 $64,700 $77,600

2 $59,150 $74,000 $88,700

3 $66,550 $83,200 $99,800

4 $73,900 $92,400 $110,900

5 $79,850 $99,800 $119,750

6 $85,750 $107,200 $128,600

7 $91,650 $114,600 $137,500

8 $97,550 $122,000 $146,350

Below is the income table for Klamath County.

Household

Size | 80% AMI | 100% AMI | 120% AMI

1 $45,600 $57,000 $68,400

2 $52,100 $65,200 $78,150

3 $58,600 $73,300 $87,900

4 $65,100 $88,000 $97,700

5 $70,350 $88,000 $105,500

6 $75,550 $94,500 $113,300

7 $80,750 $101,000 $121,100

8 $85,950 $107,500 $128,950

Below is the income table for Lane County.

Household

Size | 80% AMI | 100% AMI | 120% AMI

1 $51,350 $64,200 $77,050

2 $58,700 $73,400 $88,050

3 $66,050 $82,600 $99,050

4 $73,350 $91,700 $110,050

5 $79,250 $99,100 $118,850

6 $85,100 $106,400 $127,650

7 $91,000 $113,800 $136,450

8 $96,850 $121,100 $145,250

Below is the income table for Lincoln County.

Household

Size | 80% AMI | 100% AMI | 120% AMI

1 $46,300 $57,900 $69,400

2 $52,900 $66,100 $79,300

3 $59,500 $74,400 $89,200

4 $66,100 $82,600 $99,100

5 $71,400 $89,300 $107,050

6 $76,700 $95,900 $115,000

7 $82,000 $102,500 $122,900

8 $87,300 $109,100 $130,850

Below is the income table for Linn County.

Household

Size | 80% AMI | 100% AMI | 120% AMI

1 $51,950 $64,900 $77,850

2 $59,350 $74,200 $89,000

3 $66,750 $83,500 $100,100

4 $74,150 $92,700 $111,250

5 $80,100 $100,100 $120,150

6 $86,050 $107,500 $129,050

7 $91,950 $115,000 $137,950

8 $97,900 $122,400 $146,850

Below is the income table for Marion County.

Household

Size | 80% AMI | 100% AMI | 120% AMI

1 $51,900 $64,900 $77,800

2 $59,300 $74,100 $88,900

3 $66,700 $83,400 $100,000

4 $74,100 $92,600 $111,100

5 $80,050 $100,100 $120,000

6 $86,000 $107,500 $128,900

7 $91,900 $114,900 $137,800

8 $97,850 $122,300 $146,700

16. Based on the number of people in your household, please select your income bracket from the options below by using the income table listed.*

Reminder: Income earned by all adult (age 18 or older) household members must be included.

Select

Do you or a member of your household have a disability that limits or is a barrier to daily activities (Mobility, personal needs and grooming, household chores, recreational activities, and hobbies, etc.)?*

Select

Do you have debt related to your recovery from the 2020 disasters or from medical costs that takes up a large amount (30% or more) of your income?*

Select

SECTION 3: Information About Your Application Needs

Information provided in the section below will help us better support you during the application process if you are eligible to apply for HARP.

17. Will you need support to complete your application?*

Select

Which option best supports your needs?*

If you need an accommodation or additional support that is not listed, please select “Another situation” so you can provide additional information.

Select

Please Explain:*

18. Have you worked with one of these organizations previously or do you prefer to work with one of these organizations?

Select

By submitting this form, I/we hereby consent to the disclosure of my/our information collected through this form to be used to determine potential eligibility and phase qualification for the HARP Program. I/We understand that information collected through this questionnaire process may also be disclosed with third-parties for the purposes of coordination of benefits and providing additional assistance.*

NOTE: It is recommended that you select the box below to receive a copy of your responses. Please retain this copy for your records. If you do not receive an email within five (5) minutes, please check your Spam/Junk folder.

Send me a copy of my responses

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