CA-19 Storm Response Questionnaire

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President Joe Biden granted a Major Disaster Declaration for the State of California triggering the release of Federal funds to help individuals and communities recover from Severe Winter Storms, Straight-line Winds, Flooding, Landslides, and Mudslides that occurred February 21, 2023, and continuing. This declaration applies to Monterey and Santa Cruz Counties in California's 19th Congressional District.

If you, your family, or business are applying for federal disaster assistance, please complete this form and my office will reach out to assist.

Full Name *

Email *

Street Address *

Phone number *

Please provide a brief description of your disaster needs. *

Please provide a brief description of the federal assistance you have applied for. *

Would you like my office to follow-up with you? *

Yes

Submit

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