Florida Timber Recovery Block Grant - Registration Form
The registration deadline was Friday, April 30, 2021. Any registrations received after the deadline will be added to a backup waiting list. In the event that the registration period is reopened, your registration may be considered at that time and you will be contacted by an account manager.

Please note that registrations received after the deadline are not guaranteed to be included in the program. If you have questions or need additional assistance, please call our hotline at 850-270-8317.
Sign in to Google to save your progress. Learn more
Applicant Name - Individual or Business Entity *
Enter the name of the Individual or Business Entity that is applying for the grant. This applicant name must match the listed property owner for all properties that will be included in the application. If applying on behalf of another individual (e.g. family member) or a business entity, provide your name below as the Point of Contact. Please enter only 1 name here.
Point of Contact Name
Optional: Answer ONLY if different from Applicant Name provided above. This could be any person helping another individual or entity complete the application process, such as a family member, secretary, or business partner.
Phone Number *
This phone number and the email provided at the top of this form should be for the person that will be responsible for completing the application process. Note that this person can either be the applicant (individual or business entity) or another person serving as the point of contact. Please enter the phone number as follows: ### - ### - ####
Does the applicant own a minimum of 10 adjoining acres of timber land in Florida? *
County(ies) *
Please select the Florida county (or counties) where the applicant's destroyed or damaged timber property is located. Only properties within the following counties are eligible.
Required
Zip Code (of applicant's most damaged timber property)
Please enter the Zip Code where the applicant's most damaged timber property is located.
Submission Tips
After you click submit, a group of pictures may pop up. Please make sure to follow the instructions and click all pictures containing the object the instructions identify, such as a bike, street lights, stop sign, etc. This is a built-in security check.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of FCMC, LLC.

Does this form look suspicious? Report

Google Forms