Hurricane Ida Assistance Questionnaire
Faith Formula will be offering food, clothing, and lodging reimbursement assistance to families who are currently in the Dallas service areas as a result of damages due to Hurricane Ida. We will also offer utility assistance for families who are currently housing families who have evacuated to the Dallas area. After completion of this form, a case manager will be in contact with you directly.
Street Address Line 2
State / Province
Postal / Zip Code
Please enter a valid phone number.
Are you currently in the Dallas area as a result of the damages from Hurricane Ida?
How many people from your household are here with you?
5 or more
What date did you come to the Dallas area?
Have you applied for FEMA?
Are you receiving any assistance from Red Cross or any other agency?
What is your current living arrangement?
With a relative or friend
Are you in need of food?
Are you in need of clothing?
If you are housing family or friends who evacuated Louisiana as a result of Hurricane Ida, are you in need of any of the following:
Can you show proof of your need? (proof of increased bills between August 24th and now)
Should be Empty: