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Disaster recovery assistance application form

Step 1

Please read the program guidelines and the frequently asked questions.

Step 2

Download the form.

Fillable PDF Non-fillable PDF
Application form
Application form

Step 3

  • Complete and sign the application on pages 3 and 5.
  • Include a letter from your insurance provider detailing your level of coverage.
  • Include receipts or invoices for the costs you have incurred.
  • Provide a copy of your driver’s license.
  • If your are a homeowner, include a copy of your most recent property tax bill.


Submit the form with copies of any other pertinent information.

If you are a homeowner or a tenant applying for assistance under the Special Provisions for Low-income Households, follow the provisions for low-income households link to determine if you are eligible. Additional information and a separate form will be required.

Problem downloading the form with Chrome or Firefox?

Make sure that you have a recent Adobe Acrobat Reader.

Follow these five steps:

  1. Bring your mouse over one of the links below:
  2. Fillable PDF Non-fillable PDF
    Application form
    Application form
  3. Right click and select “Save link as…” (PC) or "Download linked file as... (Mac).
  4. Save a copy of the form on your computer.
  5. Close your browser.
  6. Open the saved copy of the form with Adobe Acrobat Reader.

Contact us

If you are still having trouble with the Application form, send us an email at