NCEM Project Grant Application
Email address *
Owner Information
Name of Structure Owner(s)
Name of Land Owner(s) (if different)
Street Address of Damaged Property
Zip Code
Mailing Address
Mailing City
Mailing State
Mailing Zip Code
Phone Number
Citizenship Status
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Have you applied for disaster assistance in the past 10 years?
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If yes, please provide your FEMA registration number and what disaster it was associated with:
Did you have flood insurance on the structure at the time of loss?
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Was your home determined to be substantially damaged by local officials?
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How many claims have you filed for flood insurance in the past 10 years?
If you received claim money, how much did you receive?
Have you made a claim with your flood insurance agent for increased cost of compliance coverage?
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Flood insurance agent/company:
Flood insurance policy number:
Are you requesting:
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Have you participated or applied for assistance in a previous acquisition, elevation, or mitigation reconstruction program? If yes, when?
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