KHRC Logo
Subscribe
Login to Procorem

Testimonial Form

Share your Testimonial

If you have partnered with or received assistance from KHRC, we’d like to hear from you! Please complete the form below to share your experience. 

If you are willing to grant permission for us to share your story with our stakeholders, please provide your consent at the bottom of the form. 

If you feel comfortable, please upload photo/video below to support your story. 

We appreciate your feedback! 

This field is for validation purposes and should be left unchanged.
Name(Required)
Do you wish to remain anonymous?
Drop files here or
Max. file size: 50 MB.
    Are you available to be contacted by the media if they have additional questions?(Required)
    Consent(Required)
    Full Name

    Submit Revision

    You are not permitted to submit this form!

    Income Guidelines

    Household Size Maximum Income for Weatherization (200% of FPL)
    1 $25,760
    2 $34,840
    3 $43,920
    4 $53,000
    5 $62,080
    6 $71,160
    7 $80,240
    8 $89,320

    contact us

    This field is for validation purposes and should be left unchanged.
    Name
    Skip to content