• Avoyelles Request for Help

  • Love Acadiana and its partners provide free assistance to individuals affected by natural disasters. Available services may include debris removal, home muck-outs, chainsaw work, and temporary roof tarping. If your home or property was impacted and you need assistance, please submit a request below. Requests are reviewed and prioritized based on the severity of need and volunteer availability.

  • Date
     - -

  • Tell us about you.

  • Are you filling this form out for yourself? Or for someone else?
  • Format: (000) 000-0000.
  • What is the best way to reach you?*
  • At the affected address, are you an owner or renter?*
  • Was the affected address your*
  • Are you currently living at the affected address?*
  • Does anyone living in the home fall into one of these categories?*
  • Do you have any children under 18 living with you?*

  • Tell us about your needs.

  • What assistance do you currently need with your property?*
  • Was your dwelling flooded?*
  • What was the depth of water in your home?*
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  • Do you have homeowner's or renter's insurance?*
  • Were your damages covered by homeowner's or renter's insurance?*
  • Do you have flood insurance?*
  • Were your damages covered by flood insurance?*

  • Releases

  • I understand that additional documentation or follow-up may be required.*
  • Would you like the assistance of volunteer groups in your recovery?*

  • Information Sharing and Privacy Authorization

    I authorize Love Acadiana and its partners, affiliates, contractors, volunteers, governmental agencies, nonprofit organizations, faith-based organizations, and other service providers to collect, use, store, and share information that I provide for the purpose of coordinating assistance, case management, disaster recovery, housing recovery, financial assistance, volunteer services, and other support activities.

    I understand that Love Acadiana may rely on third-party organizations and systems to provide services and that my information may be transmitted to such organizations as reasonably necessary to facilitate assistance. I release and hold harmless the Released Parties from any claims arising from the good-faith collection, use, storage, transmission, or sharing of my information for these purposes.

    I further understand that authorization to share my information does not guarantee eligibility for, approval of, or receipt of any assistance, funding, services, or resources.

  • *

  • Release

    By submitting this form you authorize Love Acadiana and its partners, affiliates, contractors, volunteers, governmental agencies, nonprofit organizations, faith-based organizations, and other service providers to enter your property to attempt to secure and/or mitigate your property to prevent further damage and complete requested work. You further hold these volunteers and their organizations harmless from any damage or injury that may occur to your property or person in the exercise of this work. You also give your permission for information deemed necessary for the assessment of damage and or repair of your home, person, and/or property to be shared among these agencies and organizations. 

  • *

  • For the administrative team:

  • Was verbal consent given?
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