Property Maintenance Assistance Program

Property Maintenance Assistance Program
Name*

First NameLast Name
Email
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
By signing this agreement, I agree to the program guidelines that have been provided to me by the City of Pharr Code Compliance Division.
Check all that apply:*

That I am 65 years of age or older and reside within the City limits of Pharr.Disabled, handicapped or otherwise physically incapable of taking care of my yard.Veteran.
Please provide proof veteran status.

Cancelof
Please provide proof of age.

Ex: Drivers License
Cancelof
1. As part of the City's Property Maintenance Assistance Program, Building and Code Compliance Department coordinates with employees and skilled volunteers to support and assist property owners by offering mowing services.
2. The undersigned, referred to as "Owner" herein, represents that they are the owner(s) of real property(the "Property") located at above-mentioned location.
3. By signing this form, the owner wishes to receive the benefits of the Property Maintenance Assistance Program, and in consideration of the benefits, the owner grants permission to City Employees and volunteers to access the property to provide the necessary services to said property.
Guidlines:
- Application must be submitted and approved prior to services being provided.
- Only three(3) applicants will be selected per event for services, on a first come first serve basis.
- Deadline to submit will be the 1st Friday of every month to be considered for the next scheduled event.
PERMISSION

I hereby give the City of Pharr and volunteers, permission to enter my property. I hereby indemnify and hold harmless the City of Pharr from any and all claims arising out of or in connection with the event known as "Property Maintenance Assistance Program". I affirm under the penalty or perjury that the above information is true and correct. Additionally, I acknowledge that there are no concealed hazards on the property and that volunteers will have safe access to the areas.
Signature*

Clear
Date

MonthDayYear
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