2026 Home Accessibility Program for Independence (HAPI) Application

2026 Home Accessibility Program for Independence (HAPI) Application
The HAPI provides up to $15,000 in grant funding to help homeowners make accessibility modifications in their homes for household members with physical disabilities.

Property and Repair Information

Please enter the full property address. The property must be located within the City of Pittsburgh.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please select all accessibility modifications from the dropdown box that apply to your project.
Please describe the repairs/modifications that are needed.

Have you received assistance through the HAPI in the past?
If yes, how many years ago did you receive assistance?
Do you receive Social Security Disability Insurance or VA disability compensation?
Do you or someone in your household have a physical disability?
Are you able to provide a doctor's note stating your disability?
Upload Social Security Disability Statement or Doctors Note. (This documentation is required to be considered for a grant.)

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Personal Information

Name of Applicant(s)
Applicant Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Date of Birth
DD/MM/YYYY

What is your household size?

List all people living in your household.

Rows	Household Member's Name	Relation to Applicant	Age
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
Person 7
Person 8

Employment Information

Please provide employment information for all relevant household members. (If self-employed or strictly receiving Social Security or VA Disability, please indicate that in the employer box.)

Rows	Person 1	Person 2	Person 3	Person 4
Name of Applicant/ Household Member
Name of Employer
Dates of Employment
Position/Title
Address of Employer
Work Contact Number

If someone works more than one job, please provide the additional information below.

Rows	Person 1	Person 2	Person 3	Person 4
Name of Applicant/Household Member
Name of Employer
Dates of Employment
Position/Title
Address of Employer
Work Contact Number

Income Information

List all gross income in the household (including children 18 years and older). Examples of income sources include employment, social security, disability, retirement, food stamps, and child support.

Please make sure to use gross income when entering below:

Rows	Income Source	Yearly Gross Income
Income Source 1
Income Source 2
Income Source 3
Income Source 4
Income Source 5
Income Source 6
Income Source 7
Income Source 8

Total Income
This field is automatically calculated
AMI Qualification
This field is automatically calculated
Please upload all income documentation. Examples of this documentation includes two consecutive paystubs, latest income tax return, retirement withdrawals, social security statements, disability compensation statements, etc.

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NOTICE REGARDING INSPECTIONS
The URA may inspect your property before and during construction. The inspections are performed solely to protect the URA’s loan funds. URA does not warrant the value of the property. The URA does not warrant or guarantee that its inspection will reveal everything that may be wrong with your property. The URA does not warrant materials or workmanship. If you want to satisfy yourself that the condition of the property does not require other work or that the work done by the contractor is done correctly, you must, at your own expense, obtain your own home inspector.

ACKNOWLEDGEMENT
I have read and understood the foregoing Notice to Borrower
Applicant's Name

First NameLast Name
Applicant's Signature
Date

MonthDayYear
Date

CONFLICT OF INTEREST DISCLOSURE
All applicants for Urban Redevelopment Authority of Pittsburgh (URA) loan programs are required to disclose if they are employees of or are related to employees of the URA or the City of Pittsburgh. If you are a URA or City of Pittsburgh employee or are related to a URA or City of Pittsburgh employee, the URA must obtain a conflict of interest waiver from its Board of Directors.
Applicant's Name

First NameLast Name
Please indicate the following condition that applies:
Please indicate the relationship if applicable: (example: Spouse, Mother, Father, Daughter, Son, Other)
Applicant's Signature
Date

MonthDayYear
Date

CONFIDENTIALITY WAIVER
In order to provide you the best service and coordination, the Urban Redevelopment Authority of Pittsburgh (URA) may need to discuss your application and information with other parties including, but not limited to, banks and lenders, settlement company, landlord, contractors, and contracted service providers. The extent to which information is shared will be limited to only the information necessary to coordinate with others and your private information will be kept confidential, unless it is required to coordinate and approve services and assistance.

By signing below, you give the URA permission to share your information with our partners in order to deliver the best service to you and your household.
Applicant's Signature
Date

MonthDayYear
Date

PHOTOGRAPHY AND VIDEO RECORDING AUTHORIZATION AND RELEASE FORM
The undersigned authorizes the Urban Redevelopment Authority of Pittsburgh (the “URA”) and its representatives to take photographs and video recordings of the property located within the City of Pittsburgh, PA which is owned by the undersigned and is being renovated using URA funds. In addition, the undersigned releases to the URA and its representatives all rights of any kind to such photographs and video recordings of the Property without payment or any other consideration to the undersigned.

The undersigned understands that such photographs and video recordings may be edited, copied, exhibited, published, or distributed without the undersigned’s inspection or approval. The undersigned represents and warrants that the undersigned is authorized to release these rights. Such photographs and video recordings may be used for URA promotional purposes and may be displayed in any print, visual, or electronic media including, but not limited to, social media, websites, advertisements, newsletters, newspapers, magazines, application documents, and other promotional materials.

The undersigned hereby releases the URA and its representatives from any liability in connection with the taking, recording, digitizing, or use of such photographs and video recordings as described above. The undersigned has the right to revoke this authorization at any time by notifying the URA in writing. The revocation will not affect any actions taken before the receipt of such written notification.

By signing this form, the undersigned acknowledges that he/she/they completely read and fully understand(s) the above authorization and release and agree to be bound thereby.
Applicant's Signature
Date

MonthDayYear
Date

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2026 Home Accessibility Program for Independence (HAPI) Application

The HAPI provides up to $15,000 in grant funding to help homeowners make accessibility modifications in their homes for household members with physical disabilities.

Property and Repair Information

Personal Information

Employment Information

Income Information

NOTICE REGARDING INSPECTIONS

CONFLICT OF INTEREST DISCLOSURE

CONFIDENTIALITY WAIVER

PHOTOGRAPHY AND VIDEO RECORDING AUTHORIZATION AND RELEASE FORM

Voluntary Self Identification Form