Hurricane Helene Disaster Relief Application

Burke County residents may apply for financial assistance to cover expenses associated with Hurricane Helene. Form completion does not guarantee funding.

This application is intended for unmet needs; it is not for reimbursement of past expenses. If approved, payments will be made directly to vendors—such as hardware or furniture stores—rather than to the applicant.

The application should take 10-15 minutes to complete. Please have photographs, receipts, repair quotes, or FEMA and insurance documents, ready to upload.

This application is for ongoing, non-emergency needs.

For immediate assistance please call 2-1-1.

Contact Information & Demographics

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* 1. Name

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* 2. Email

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* 3. Phone

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* 4. Current Mailing Address

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* 5. Current Physical Address (if different from Mailing Address above)

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* 6. List Your Age

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* 7. What is your sex?

Male

Female

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* 8. What is your ethnicity? (Please select all that apply.)

American Indian or Alaskan Native

Asian or Pacific Islander

Black or African American

Hispanic, Latino/a, or of Spanish origin

White / Caucasian

Prefer not to answer

Other (please specify)

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