Application for Assistance from Rebuild Sandy Creek
We know applying for flood relief is tedious, so we aim to make this process simple for applicants by only requiring the details needed for our selection process. 

You do not need to provide any documentation or photos today to complete your application, however, if you are selected as an award recipient by Rebuild Sandy Creek's advisory board, you will be asked to provide documentation to verify the claims and statements in your application.

The application takes about 15 minutes to complete.

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Email *
Applicant name *
Applicant phone number *
Applicant email *
Address of damaged property *
Is the property normally your primary residence? *
Do you own or rent the property? *
Does your household include any children under age 18? *
If yes, please list their ages here.
If no, please skip.
Does your household include any disabled persons? *
If yes, please feel free to include any details that would help us help them better. (example: ramp needed for wheelchair)
Does your household include any persons age 65 or older? *
If yes, please feel free to include additional details.
If no, please skip.
Does your household include any members of the US armed services or veterans of the US armed services? *
If yes, feel free to include details here (branch of military service, etc).
If no, please skip.
What is your annual household income? *
How would you classify the damage to your home and property?

Total Loss

Examples: collapsed roof and walls, widespread mold that includes structural elements, condemned, complete foundation failure, uninhabitable and irreparable


Major Damage

Examples: significant structural or system damage (electrical, plumbing, HVAC), flooding above electrical outlets, unusable kitchen or bathrooms, mold remediation needed, can be repaired but not currently livable


Moderate Damage

Examples: water damage to flooring and baseboards, drywall or flooring replacement needed, some systems (HVAC/water heater) need repair or replacement, foundation needs minor repairs


Minor Damage

Examples: mostly cosmetic or non-essential issues, damage to non-living areas (detached garage, shed), fencing or driveway damage, patios, decks


 *
Please explain how/why you chose the above damage classification for your home. The more detail included, the better. *
If your home was damaged/destroyed -
What kind of home do/did you have?
Clear selection
How many bedrooms are/were in your damaged/destroyed home?
How many bathrooms are/were in your damaged/destroyed home?
How much total money have you received, or are you expected to receive, from homeowners or flood insurance payouts? *
How much total disaster related financial assistance have you received, or are you expected to receive, from outside sources like FEMA, Samaritan's Purse, Red Cross, Travis County CARES Fund, Austin Disaster Relief Network, Strait Foundation, etc.? 
You do not need to include free food, clothing, or personal items in this estimate, but please include services you've received at no charge.

Examples: 
$25,000 (Strait Foundation)
$43,000 (FEMA)
New flooring from ABC Church
 *
What is your best estimate of your total financial loss incurred by the flood? (example: $150,000 home + $15,000 vehicle + $5,000 personal items = $170,000)
Which of these housing options are you willing to consider? 
Select all that apply. *
(Please keep in mind, Travis County has remapped the floodplain, so new homes and mobiles will need to meet new flood plain elevation requirements, which may be many feet higher, and will likely require flood insurance if you have a loan on your new home.)
Required
What is your current living situation? (examples: living in an RV on your property, staying with a family member, leasing a house for 1 year until your home can be rebuilt, etc.) *
Please share with us where you currently are in the process of repairing/replacing your home. 
(examples: received 2 contractor bids for foundation repair, damaged drywall has been removed, waiting on permits, house has been demolished, etc.) 
 *
Are there any other details you'd like to share with us?
If you are selected as an award recipient, you agree to the following:

1) If asked, to provide documentation and verification for the details listed in your application, including but not limited to:
- Identification, proof of ownership, and proof of residence for adults in the household 
- Income verification, like tax returns
- Photos of damage
- Relevant documents, like contractor bids, invoices, insurance policy, payouts or denial details, if applicable

* Failure to provide documents requested by Rebuild Sandy Creek in a timely manner and/or material differences between your application statements and your supporting documents may result in forfeiture of the award. 

2) To allow Rebuild Sandy Creek and their assignees to share information about your story or property for any legitimate business purpose, like fundraising, marketing, and media/press related to Rebuild Sandy Creek. 

3) To allow property access and indemnify and hold harmless anyone acting in good faith on behalf of Rebuild Sandy Creek.

4) Own and live in the home as a primary residence for at least 1 year following the completion of all rebuild and repair projects arranged by or paid for by Rebuild Sandy Creek. 

By entering your full name below, you are electronically signing this form and attesting that all details provided in your application are true to the best of your knowledge. You are also agreeing to the terms listed above. 
 *
Next Steps:
Press the SUBMIT button to submit your completed application. 

Your application will be reviewed by an advisory board of volunteers after the application period closes. You will be notified if you are awarded or if any additional info or documentation is needed from you.
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