Kinder Morgan Employee Disaster Relief Fund

Kinder Morgan Employee Disaster Relief Fund
Please answer the following to determine if you are eligible to apply.
I was affected by a recent disaster and am in need of financial assistance.*

YesNo
This fund was established to assist employees with:
- Loss of perishable foods
- Damage to the main structure of the home
- Damage to personal belongings inside of the home
- Damage to a personal vehicle that renders it inoperable or danagerous to drive
- Reimbursement of living expenses related to evacuation or displacement
INELIGIBLE ITEMS:
- Fences
- Sheds
- Pools
- Damage due to normal wear and tear or lack of maintenance
- Electonics and other non-essential household items
- Lost wages/loss of income
I confirm I am requesting financial assistance for eligible items only.*

YesNo
Which disaster resulted in your loss/damage?*
Please review FEMA's Disaster Declaration site below to confirm whether you live within an eligible county or parish. Your county or parish must be listed in order to submit an application.
Note: designated counties/parishes can be added up to 30 days from the event date. If your county or parish is not currently listed, please continue to check the links above for updates.
I confirm I live within an eligible county or parish.*

YesNo
Based on your responses above, you are ineligible to apply for assistance.

Kinder Morgan Employee Disaster Relief Fund
Kinder Morgan has established the Kinder Morgan Employee Disaster Relief Fund at the Greater Houston Community Foundation for all regular employees of Kinder Morgan, who were employed as of the application submission date and who have suffered an emergency hardship as a direct effect of a Federally Declared Major Disaster.

An independent committee of Greater Houston Community Foundation will determine eligibility for all grant award recipients and specific grant amounts. It is at the committee’s discretion to allocate the maximum grant award.

Individual employee grant awards may not exceed the maximum award amount. Awards are payable from the Kinder Morgan Employee Disaster Relief Fund of the Greater Houston Community Foundation. Awards will be disbursed to employees by direct deposit using the bank information provided on this application.

Employees agree to expend the grant monies for the defined purpose of the grant and to refund Greater Houston Community Foundation the grant monies, or any part thereof, not spent for the defined purposes of the grant. Employees are expected to provide truthful and accurate information; in its due diligence, if Greater Houston Community Foundation discovers any information to be untrue, it shall have the right to report its findings to Kinder Morgan.

If you have any questions, please reach out to disaster@ghcf.org.

Kinder Morgan Employee Disaster Relief Fund

Application

We are currently accepting applications for the following disasters:

Disaster	Application Deadline	Maximum Award
Louisiana Hurricane Francine	November 15, 2024	$3,000
Florida Hurricane Helene	December 6, 2024	$3,000
Georgia Hurricane Helene	December 6, 2024	$3,000
North Carolina Tropical Storm Helene	December 6, 2024	$3,000
South Carolina Hurricane Helene	December 6, 2024	$3,000
Tennessee Tropical Storm Helene	December 6, 2024	$3,000
Virginia Tropical Storm Helene	December 6, 2024	$3,000
Florida Hurricane Milton	December 12, 2024	$3,000

Please do not provide sensitive personal information (i.e., birthdate, social security, driver’s license number, etc.) in your responses and/or supporting documentation other than what is requested below.

If any sensitive information appears on your supporting documentation, please remove it prior to attaching the documentation to your application.

GHCF APPROVED AMOUNT
Legal Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Employee ID *
You may locate your ID number by logging into ESS> My Data > Employment > Job Profile
Employee Location *

Street Address

Street Address Line 2

CityState

Zip Code
Primary Address (where you lived when this event occurred)*

Street Address

CityState

Zip Code

PERSONAL BELONGINGS

IMPORTANT:

Loss or damage must be to your personal belongings inside your home, such as furniture, clothing, or perishable foods. Such loss or damage must not be covered with proceeds from an insurance policy.

This disaster relief program is intended to provide assistance for immediate basic needs. Non-essential household items, including electronics, are ineligible for assistance.
Do you need assistance with loss/damage to your personal belongings?*

YesNo
Description of the loss/damage to your personal belongings:*
*COLOR PHOTOS ARE REQUIRED

Please submit multiple quality photos of ALL the damage you described above.
You may upload photos and other documents, such as insurance claims, here:*

Cancelof
Insurance coverage and deductible information:*

Insurance fully covers loss/damage but must pay deductibleInsurance partially covers loss/damage but must pay deductibleInsurance does not cover any loss/damage
Insurance deductible amount
Are you requesting assistance for loss of perishable food?*

YesNo
Estimated food loss value*

PERSONAL VEHICLE

IMPORTANT:

Loss or damage must render your personal vehicle inoperable or dangerous to drive. Such loss or damage must not be covered with proceeds from an insurance policy.
Do you need assistance with vehicle damage?*

YesNo
Description of the loss or damage to your personal vehicle(s):*
*COLOR PHOTOS ARE REQUIRED

Please submit multiple quality photos of ALL the damage you described above
You may upload photos and other documents such as insurance claims here:*

Cancelof
Insurance coverage and deductible information:*

Insurance fully covers loss/damage but must pay deductibleInsurance partially covers loss/damage but must pay deductibleInsurance does not cover any loss/damage
Insurance deductible amount

LIVING EXPENSES

IMPORTANT:

Reasonable and necessary living expenses as a result of displacement or evacuation (ex: hotel stay, car rental, etc.). Such loss or damage must not be covered with proceeds from an insurance policy.

Note: The IRS does not allow reimbursement for loss of income from employee disaster relief funds.
Do you need assistance with unexpected living expenses as a result of displacement or evacuation?*

YesNo
Please provide a brief description of your out-of-pocket expenses:*
*NOTE: At least one (1) form of proof of loss/damage is required in order to process your application.

Please ensure your suppporting documentation is related to your out-of-pocket expenses described above.
You may upload photos, receipts, invoices or other documents here:*

Cancelof
Are any of your supporting documents receipts?*

YesNo
Receipts are often hard to read, please help us by completing the fields below:
Please list the date, store or vendor name, as well as the total eligible expense amount for each of your receipts. Note: alcohol, tobacco, and other non-essential items are not eligible for assistance.*

I respectfully request assistance in the amount reflected below from the Kinder Morgan Employee Disaster Relief Fund of the Greater Houston Community Foundation. *
The maximum award you may receive is $3,000.00
*Please allow up to 4 weeks for payment processing.
Are you able to receive a Direct Deposit?*

Yes, I can receive a Direct Deposit.No, I cannot receive a Direct Deposit. I would like a check mailed to the address on this application.
Please provide your banking information below.

Please carefully complete the fields below and review for accuracy. Greater Houston Community Foundation is NOT responsible for Direct Deposits sent to incorrect accounts due to inaccurate banking details.
Bank Name*
What type of account is this?*
Is this your account?*

YesNo
What is the account holder's relationship to you?*
Name on Account*
Please enter the account holders' name exactly as it appears on the account.
Routing Number*
9 characters
Account Number*
17 character max
I have entered my banking information and reviewed it for accuracy. I understand that I may not receive an award if this information is inaccurate.*

Confirm
I understand that award decisions are made based off of the supporting documentation I provide and are final. I understand additional documentation will not be requested or accepted after my application has been submitted.*

Confirm
By signing below, I certify that the information provided in this application is true and complete.

I authorize Greater Houston Community Foundation to obtain and/or verify all information necessary to process my application, and I release Greater Houston Community Foundation from any liability associated with the rejection of funding of my application.
Signature*

Clear
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