2024 Emergency Disaster Relief Grant Application

2024 Emergency Disaster Relief Grant Application

Coast Guard Foundation + Chief Petty Officers Association
The Coast Guard Foundation and Coast Guard Chief Petty Officers Association work together to provide disaster relief assistance to Coast Guard members who have been impacted by natural disasters.

When natural disasters strike, the Coast Guard Foundation and the Chief Petty Officers Association are here for you. Coast Guard members are often first responders—leaving their own impacted homes and property to aid others. We assess member and family needs through our disaster relief and response program and make sure you get resources to bounce back from hurricanes, floods, tornadoes, and more.

Coast Guard members are eligible for a grant up to $3,000 to cover personal loss and basic needs after a storm strikes. These needs include, replacement and repair of household goods, food and basic necessities, insurance deductibles, temporary housing, and emergency travel.

You may complete the application online here. It will be reviewed by CGF and CPOA and they may contact you for more information and further documentation may be requested before approval.

Your application will be reviewed within five days of receipt. You may email swilliams@coastguardfoundation.org or call 860-535-0786 with any questions.

For more information on the Coast Guard Foundation's emergency disaster relief program, visit coastguardfoundation.org/get-assistance
Name of Storm/Natural Disaster*
Hurricane Laura, California Wildfire, for example
Name:*

PrefixFirst NameLast NameSuffix
Address:*

Street Address

Apt. #

CityState / Province

Postal / Zip Code
Mailing Address Type:*

HomeDuty StationOther
Can we mail a grant check to this address?*

YesNoOther
Work E-Mail:*
example@example.com
Personal E-Mail:*
example@example.com
Preferred Phone Number:*

Area CodePhone Number
Alternate/Cell Phone:*

Area CodePhone Number
Status of Applicant:*

Active DutyReserveRetiredCivilianAuxiliaryOther
Rank/Rate:*
E-7,0-3, for example
Current Coast Guard Unit:*
Name of cutter, unit, station, etc.
Does the applicant have a spouse?*

YesNo
Does the applicant have children?*

YesNo
If yes, please indicate the number of dependent children listed in DEERS.
Amount of Grant Request:*
(Up to $3,000)
How will you use the grant?*
Has the applicant received a grant from other sources?*

YesNo
If yes, please provide the name of the grant source and the amount received.
Does the applicant rent or own the home impacted by the hurricane?

RentOwnOther
Does the applicant have insurance?*

NoYes, flood insuranceYes, homeowner's insuranceYes, renter's insuranceOther
Has the applicant received or expecting to receive, insurance funds to cover losses?*

YesNoOther
If yes, please provide the insurance provider name and the amount received/expected.
In reviewing your application, we will verify your Coast Guard status, current address, and documented need. You may attach evidence during the application process or we will work with you during application review to collect necessary information.
Evidence of Coast Guard status:

Browse Files
upload a copy of your CG orders, screenshot of your MilConnect account landing page, or other documentation that details your duty station or CG active duty status, retiree status or civilian employment. Cancelof
Address verification information, receipts, estimates, photos of damage or other documentation.

Browse Files
Homeowners insurance or mortgage statement if you own your home. Rental agreement, utility bill or renter's insurance if renting a home. Car insurance or registration for vehicle repair. Receipts, estimates, photos of damage Cancelof
Please use this space to detail any additional information re: your grant application.
By signing this application requesting a grant from the Coast Guard Foundation and Coast Guard Chief Petty Officers Association, I hereby declare that the information contained in this application is accurate to the best of my knowledge, and understand that any misstatement of fact may be grounds for denial of this request.

I expressly waive and hold harmless the Coast Guard Foundation and Coast Guard Chief Petty Officers Association and any Coast Guard representative who may be acting on behalf of this Fund, from any and all claims that might arise as a result of this application.

I understand that the Coast Guard Foundation and Coast Guard Chief Petty Officers Association is an independent private entity, not part of the U.S. Government. This application form, therefore, is not subject to the Privacy Act (5 U.S.C. 552a). This form, with attachments, will be kept on file for a period of five (5) years.

I understand that this Fund exists to help meet the basic needs of those impacted by 2024 disasters. Those needs include but are not limited to:

a. Housing/Lodging
b. Homeowner’s / Renter’s Insurance Deductibles
c. Food
d. Emergency Travel

I understand that grants will not be considered for and are not limited to the following:

a. Credit card expenses
b. Legal expenses
c. Business debts
d. Late fees or irresponsible financial acts
e. School expenses

To see that the grant is spent only for the purpose for which it is made, the Coast Guard Foundation may follow-up with the grant recipient the quarter following the grant disbursement, allowing 90 days for the grant to be utilized. At that time, the grant recipient will be required to submit documentation for the grant expenditures. Acceptable documentation includes receipts, bills of sale, proof of payment, or proof of purchase. To satisfy this requirement, please retain all expense records, receipts and documentation.

If the grant funds are not fully expended or the submitted documentation is inadequate or not submitted, the grant recipient may request an extension to use the balance of the grant within an agreed-upon time frame, or will be expected to return the funds to the Coast Guard Foundation within 30 days.

I have read, understand and agree to the above requirements for receipt of a monetary grant from the Coast Guard Foundation and Coast Guard Chief Petty Officers Association.
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