Disaster Assistance Application
This application takes 30-45 minutes to complete. Please read it completely and carefully.
Jefferson County Long Term Recovery Group (JCLTRG) assists vulnerable individuals and households with unmet needs related to natural or man-made disaster (example: Hurricane Harvey). We focus primarily on indigent, elderly, disabled, US veterans, or single parent households with underage children, however we do consider projects on a case-by-case basis. All cases are dependent upon available funding. If you have been impacted by a recent disaster/storm and have unmet needs as a result of the disaster (examples: need assistance with home repair or furniture/appliance replacement), please complete the following questionnaire, which is the first step in recovery assistance. You will be required to provide hard copies of specific supporting documentation in addition to this application. This documentation is outlined in detail at the end of this application. The documentation should be submitted in a timely manner. Your case will not be considered until your application and supporting documentation has been submitted in full. **It is not the responsibility of JCLTRG to remind you to submit the required documentation, although we will try to help you with this process as much as possible.