Please review the instructions below then complete the form and click SUBMIT at the bottom. If you have questions, please contact info@psrar.org or 760-320-6885

Type of Assistance

Assistance is available to qualified applicants towards one of the following options:

1. Monthly mortgage expense for the primary residence that was damaged by the Tropical Storm Hilary Disaster or;
2. Rental cost due to displacement from the primary residence resulting from the Tropical Storm Hilary Disaster or;
3. Hotel reimbursement due to displacement from the primary residence resulting from the Tropical Storm Hilary Disaster.

Relief assistance is limited to a maximum of $2,500 per household. Deadline for application submission is November 7, 2023. Please note this assistance is for housing relief only; other expenses including second mortgages (home equity lines or loans), clothing, appliances, equipment,vehicle purchase, rental or repair, and or mileage are ineligible for reimbursement under this program.

Eligibility

Recipient must be a full-time resident and U.S. citizen or legally admitted for residence in the United States.

Confidentiality

All information provided on this form will remain confidential and will be available only to those who need to confirm eligibility for assistance and to those who process the assistance to be provided. This includes providing a copy of this application to the applicant's lender or landlord, if requested. It will not be shared with other parties for any other purpose.

Disbursement of Funds

In order to provide for a reasonable and equitable distribution of funds, assistance will be provided on a first come, first serve basis. All grants are contingent upon the availability of funds.

Here are the things you will need to gather when submitting this form. You may come back when you have this information available, or you may fill in parts of the form now and click SAVE FOR LATER at bottom to finish the form when you have this info.

You will upload this information near the end of this form.

 

Required for All Applicants

1. Photo Identification to Show Proof of Residency [i.e. driver's license or other governmental documentation evidencing residency]

2. Copy of Mortgage Statement or Rent Statement or Lease Agreement or Hotel Receipt.

 

One of the Following is Required to Show Proof of Damage to your Primary Residence:

a. Photos of Damages.

b. Insurance Estimate.

c. Copies of Written Claims, Settlement Proceeds or Claim Status Reports.

d. Copies of Repair Estimates from Contractors.

COMPLETE FORM BELOW

Please complete all information to be considered for assistance. If you do not have all the necessary information at the present time, please review the checklist above and gather the info and documentation which is required, then come back and complete the form before the deadline shown in the opening section.

Please upload the following using the upload buttons below. If you need more time to gather these attachments, you may click SAVE at the bottom of the form and return to complete the form later.

 a.Photos of Damages.

b.Insurance Estimate.

c.Copies of Written Claims, Settlement Proceeds or Claim Status Reports.

d.Copies of Repair Estimates from Contractors.