Do you require emergency funding assistance from the Virus Economic Relief Fund?
Assistance Request Form
Are you experiencing direct financial hardship due to a virus pandemic?
Is this virus referred to as COVID-19?
How would you categorise your need for financial relief from COVID-19?
Loss of partial income
Loss of all income
Loss of essential services (electrical, water and/or living space)
As a rating from 0 to least urgent and 10 as most urgent, how would you rate your requirement for financial assistance?
What is the total USD amount you are seeking in this emergency grant? ($1-$5000)
Send me a copy of my responses.
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