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AARC Disaster Relief Fund Grant Application

Complete the form below to apply for a grant from the AARC’s disaster relief fund, or call (972) 406-4682 to apply over the phone.

"*" indicates required fields

Your Contact Information

Name*
Address*
This is the address where a check should be sent if your request is approved.

Damage/Loss Information

MM slash DD slash YYYY
A chart of currently declared disasters is available.

 

Address of Damaged Property*
This field is for validation purposes and should be left unchanged.