Unmet Meets Screening Form
  • Completing the Disaster Recovery Assessment is the first step to applying for assistance for Hurricane Milton, but does not guarantee assistance. 
  • Completing the Disaster Recovery Assessment online could take between 15 - 30 minutes. If you need assistance with filling out the assessment, please call or text 863-447-0473 to schedule an appointment. 
  • Once you submit the Unmet Needs Screening, someone from the OLTRG team will contact you within 10 business days from 407-374-3843 and schedule an appointment for you to complete part 2 of the application. 
  • If you have any additional questions, please call or text 863-447-0473
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FEMA Registration Number
Disaster Name
Client Name *
Additional Household Members (name only)

Date of Birth for Primary Applicant *
MM
/
DD
/
YYYY
Phone Number *
Effected Address *
Current Address (if applicable)
State/Zip *
Household Size *
Number of Adults *
Number of Children under 18
Number of Grandchildren
Number of Disabled Adult Children
Check All That Apply *
Required
Repair or Building Needs Related to Disaster *
Required
We affirm that my/our household lacks the resources necessary to recover from this disaster and would like to partner with a disaster case manager who would assist in accessing the disaster recovery resources necessary for my/our recovery. *
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