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Housing Rehabilitation Program Application Request Form

  1. Use this form to request an application for the City of Brea's Housing Rehabilitation Program.

  2. For Single-Family Homes Only*

    Do you have any of the following?

  3. Please fill in the contact information below so we can mail an application to you or notify you of the status of your request.

  4. Leave This Blank:

  5. This field is not part of the form submission.