Tornado Shelter Application

Tornado Shelter Application

Cascade Relief Team has partnered with CFWK, and The American Red Cross to provide storm shelters to individuals living in counties declared by FEMA as eligible for individual assistance after the December 2021 tornadoes. (You do not have to be a tornado survivor or have received help in the past to apply. Priority will be given to those impacted by the tornado. Please complete the following form and a Cascade Relief Team representative will call or email to discuss your interest further.If you have any difficulties or need help completing this app, contact us! Josh@cascaderelief.org 731-336-1328
1. If someone is filling out this application on behalf of a applicant, what is the name of this person?
2. What agency do you represent?
Personal Information
3. Full name (First, Last) of the recipient
4. Contact information: (Phone Number)
5. Contact information: (Email)
example@example.com
Demographics
6. What state is your home located in?

KentuckyTenessee
7. What County is your property located in? If your county is not listed select the other option and enter your county.

FultonHickmanGravesMarshallLyonCaldwellHopkinsLakeObionWeaklyGibsonDyerHenryOhioMuhlenbergOther
8. Address of property
9. Do you own the property?

YesNo
10. Please provide proof of property ownership. This may be in the form of a deed or title, mortgage, homeowners insurance, property tax receipt or bill, will or trust documentation*

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11. How many people are full time occupants of your household currently? (They claim this home as their primary residence)
12. How many children under the age of 18 are full time occupants of your household?
13. Did you lose your home or have significant property damage in the 2021 tornados

YesNo
14. Do you and your household fall into the category of Low Income? (use the link below to view AMI Table)

YesNoUnsure
Ownership and Financials
Do you and your household fall into the category of Low Income? (be at or below 80% Area Median Income (AMI) demographic qualifications will be determined by county)

Follow the link to find your counties AMI

AMI Form
15. Please attach income verification documents. Recipients of this home must be considered low income. Eligible documents may include pay stubs, W-2, 1099, bank statements. (Additional qualification requirements (No single answer qualifies or disqualifies you from selections)*

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16. Do you or anyone in your home have medical conditions that could limit your ability to accessing community storm shelter safely?

YesNo
17. Does the property that the shelter will be installed at have a garage?

YesNo
19. Any additional information you would like us to know?
20. Your information will not be shared except for the purposes of application verification and assessment. Do you consent to your information being shared with our partner organizations?

Yes, I agree to my information being shared for the purposes of verification and assessment.
21. By checking the box below you confirm that the information provided is accurate and complete to the best of your knowledge

Yes, the information I have provided is accurate and complete to the best of my knowledge.
Should be Empty: