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Shelter Fund Grant Application
The Shelter Fund assists year-round residents of Lincoln County, NM who have experienced housing hardship due to unforeseen disasters such as fire or flooding. This fund is for primary residences
ONLY
.
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* Indicates required question
Email
*
Your email
Legal Name:
*
Your answer
Physical Address on June 17, 2024:
*
Your answer
Cellphone:
*
Your answer
Alternate Phone:
Your answer
Household Members Full Names and Ages:
*
Your answer
Date of Incident:
*
MM
/
DD
/
YYYY
Do you own or rent your home?
*
Own
Rent
If you rent, name and phone number of landlord:
*
Your answer
How long at this address?
*
Your answer
3 References for Verification (with phone numbers)
*
Your answer
Explain your situation/needs:
*
Your answer
Current mailing address (street, city, state, zip):
Your answer
A copy of your responses will be emailed to the address you provided.
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