Qualifications
- Financial assistance is available to you if your address qualifies.
- Your primary home must be destroyed or have significant structural damage.
- Refer to the previous page for examples.
Important:
- One Per Household: Only one person in a home should complete this form.
- No Guarantees: Completing this form does not mean you will get money from the Red Cross.
- No Repayment Needed: If received, Red Cross financial help is not a loan and you do not need to repay
it.
Registration Form
By submitting this form, we will consider you for financial assistance. The Red Cross will contact you using
the information you give us.