GEORGETOWN UNIVERSITY RELIEF FUND Applicant informationFull Name * Mailing Address * Parish * Applicant Type *HomeownerTenant Phone * Email * Property Damaged *Housing/Vehicle(s) Estimated Damages * Type of Assistance Needed: Child-CareDependent CareInsurance DeductibleFuneral ExpensesHousing PaymentProperty DamageVehicle DamageOther If Other, please specify Impact Data:# of Adults * Ages of Adults * # of Dependents * Ages of Dependents * Household Income Range *Under - $10,000$11,000 - $20,000$21,000 - $30,000$31,000 - $40,000$41,000 - $50,000$51,000 - $70,000$71,000 – Over Needs Assessment Narrative: *Maximum words allowed: 250. Total words: 0 Upload:Proof to support Loss/Damage property location, Hurricane Ida August 29, 2021: *Photo identification with damage property addressMortgage or Rental property claim evidenceUtility service billing statementProperty tax statementVoter registrationOther File Upload * Proof to support Loss/Damage property location, Hurricane Ida August 29, 2021: *Photo identification with damage property addressMortgage or Rental property claim evidenceUtility service billing statementProperty tax statementVoter registrationOther File Upload * VerificationPlease enter any two digitsExample: 12This box is for spam protection - please leave it blank Applications will close on June 30th, 2022, 9pm CT.
