Apply to Our Program

Submit an Inquiry Form to Get Started

If you are in need of the services Tucker’s House provides to make your home safe and more accessible, please fill out our inquiry form below.

At this time, we are not accepting new applications. Our next open application window will be later in the year. The first step in the process is to complete the inquiry form below. If your inquiry form is approved, you will be added to our waiting list to receive the application in the next open window. After completing the inquiry form, a Tucker’s House representative will be in touch with you on any questions and the applicable next steps!

Your Name(Required)

First Last

Client's Name

First Last

Client's Age(Required)

Relationship to Client

Email(Required)

Phone(Required)

Location of Requested Service(Required)

City State ZIP Code

Is the requested service a safety or accessibility need?(Required)

Yes

No

Please Explain the Requested Service:(Required)

Have you worked with Tucker's House before?(Required)

Yes

No

Will you be seeking financial assistance from Tucker's House?(Required)

Yes

No

Home in Which Client Lives is(Required)

Owned

Leased

How did you hear about Tucker's House(Required)

Online

Physician or Therapist

Agency

Relative or Friend

Brochure/Flyer

Other

Questions/Comments(Required)

A Tucker's House representative will reach out to you shortly. Thank you for contacting us.

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Contact Us

PO Box 682086
Franklin, TN 37068

(615) 310-5224
info@tuckershouse.org

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