AARC Disaster Relief Fund Grant Application

Complete the form below to apply for a grant from the AARC’s disaster relief fund or call (972) 406-4682 to apply over the phone. A printable application is also available.

Your Contact Information
Name*
First Last
AARC Member Number*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Daytime Phone*
Email*
Damage/Loss Information
When was the disaster declared that affected your area?*
A chart of currently declared disasters is available.
MM slash DD slash YYYY
Address of Damaged Property
Same address as above

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
This field is for validation purposes and should be left unchanged.

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AARC Disaster Relief Fund Grant Application

Your Contact Information

Damage/Loss Information

Heading to the New Era

Elevate | Engage | Advocate | Educate