Jeff Davis Hurricane Relief Fund

Jeff Davis Hurricane Relief Fund
This application is used to apply for post-emergency relief funds after Hurricane Helene. A committee reviews applications, and pending fund availability, funds are made available to those with the greatest need.

To be eligible to apply, the following criteria must be met:
1. Funds are only available for the repair of your home after damage from Hurricane Helene. Applicants should own the home. Funds may not be used for businesses, government, organizations, or other non-personal property. At this time, funds are not available for vegetative cleanup.
2. The individual requesting assistance must reside in Jeff Davis County.
3. Individuals applying should demonstrate financial need.
4. Individuals should be able to demonstrate having first attempted to cover the cost through insurance (if applicable) and FEMA/GEMA funds.
5. Individuals should be considered underinsured.
6. Preference is given to Senior Citizens who meet the above criteria.
After review, you may be contacted for an in-person assessment. Screening may take up to three weeks.

For questions, please contact the Big House at 912-375-4543.

These program is an effort of the Jeff Davis County Community Foundation.

PLEASE NOTE - IF YOU RECEIVED FEMA FUNDS, YOU CAN NOT BE AWARDED TWICE FOR THE SAME PROJECT. FEMA WILL REQUIRE YOU PAY FUNDS BACK. For example, if repairs cost $5,000 and FEMA has granted you those funds, you are not eligible for funding from the Community Foundation. Receiving funds from us would require you to pay back FEMA. If FEMA provided $3,000, you could apply for $2,000 without penalty.

First and Last Name of the individual applying for assistance:*

First NameLast Name
Birthdate of the applicant: *

MonthDayYear
Date
Phone number where the individual applying for assistance can be reached during the workday:*
Please enter a valid phone number.
Email Address (if applicable) for the individual applying for assistance:
example@example.com
Physical Address for the property where assistance is being applied for:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you have a mortgage on the home?*

Yes, I have a mortgageNo, I do not have a mortgage
List all additional residents living in the home and their age:

NameAge
NameAge
NameAge
NameAge
NameAge
NameAge

Our household's approximate annual income is $blanks* per year.
Please upload the documentation to verify income. Acceptable documentation is a copy of your prior year's tax returns, Social Security or Disability correspondence, W-2 form, or your last two paycheck stubs. *

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How many dependents are in the care of the individual applying for assistance?*

NoneOneTwoThreeFour or more
Does the individual applying for assistance have a physical disability or care for a dependent with a physical disability?*

YesNo

Was the home insured?*

YesNo
What was the total amount received from insurance?*
Please upload any insurance documents related to your home. *

Cancelof
Did you apply for assistance through FEMA*

YesNo
Did FEMA provide funds for home repairs? This is in addition to the $750 per household provided.*

YesNo - we were deniedNo - but we are in the appeal process
What was the total amount given by FEMA? *
How were these FEMA funds spent?*
Please upload all letters from FEMA. *

Cancelof

Please briefly describe the individual's financial need. If the Foundation does not fund your request, will you have the funds to make the repairs? *

0/1000
Please briefly describe what repair projects funds are being requested. Remember, funds may only be used for home repair.*

0/1000
What is the total dollar amount of assistance being applied for?*
Have you received any other funds or assistance from other groups for home repair, including local churches or other long-term recovery groups? If so, please describe how those funds have been used.*
Please include pictures of damage.*

Cancelof
By signing my full name below, I certify that I have completed this application to the best of my ability. I believe the information included in this application to be correct and honorable.*

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