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Disaster Request

(If different from above)
(If applicable)
(Available cash, expenses, other financial obligations, assets that can be disposed of without causing further personal hardship, anticipated cash flow, including income, insurance proceeds, funds received from other charitable programs, and other similar items)

Submit this application along with at least two photographs of your primary residence following the natural disaster; one photo must show the address of your primary residence.

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Your property may be subject to an in-person site visit. Please be aware, if you complete any part of this application untruthfully, you may be subject to an AAPL ethics violation and/or other legal remedies.