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The Butcher's Ball Relief Fund Application: In Association with Piggy Bank and Trust for Conservation
Email address *
Let's Get Started - Please fill out everything below.
Full Name *
Your answer
Tax Exempt No: *
Your answer
Name of Business *
Your answer
Full address of farm to include county: *
Your answer
Email *
Your answer
Detailed description of damage and location on property: *
Your answer
Number of acres impacted by Hurricane Harvey: *
Your answer
Total livestock inventory prior to Hurricane Harvey. Please include specific pig breeds, sex's and ages: *
Your answer
Total livestock loss as an effect of Hurricane Harvey. Please include specific pig breeds, sex's and ages. (Please include images, veterinary bills, and any other proof of loss with this application): *
Your answer
Please detail any additional expenses, equipment or structural damage/loss incurred. (Please submit forms and/or receipts with this application): *
Your answer
Have you applied for or received relief funding from any other organization/agency? To include insurance: *
Please indicate any assistance you have qualified for or have already received:
Your answer
What has been the single largest loss due to Hurricane Harvey?
Your answer
How do you plan on using funds if your business qualifies? *
Your answer
Signature *
Your answer
Date *
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This application has been adapted from the Cattle Raisers Relief Fund Application and customized to meet the needs of pig farmers effected by Hurricane Harvey.
Applications and documentation can also be mailed to Elaine Dillard at 16060 Dillard Drive Houston, TX 77040.
All applications are due by no later than SUNDAY, DECEMBER 31, 2017. For questions please call Elaine Dillard at (713) 819-1423.
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