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Caring Breaths Radon Mitigation Expenses Application Form

1. Contact Information

2. Radon Mitigation Expense Receipts

Attach a copy of the receipt you are requesting financial reimbursement for.

Maximum 5 files.
2 GB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

3. Income Verification

What is your net disposable income? (monthly income after taxes) Choose range that applies to you.

4. Other Financial Support

Select any other organizations you have received financial support from to help cover related costs.

6. Did you or your certified radon mitigator test your home pre-mitigation?

7. Where did you get your radon test from?

8. What kind of radon test was used?


9. What was the radon level in your home pre-mitigation?


Optional: Other Information

You may use this field to provide any other information you feel is relevant or important to your application.

To find out more visit or If you have any questions about our Caring Breaths program, please email