AARC Disaster Fund
Application Form

Please complete the following form to apply for a grant from the AARC’s disaster relief fund. This fund has been established to assist AARC members who may have experienced damage to their property during federally declared disasters. Only individuals who were members of the AARC at the time of the disaster are eligible for grants from this fund. A printable form is also available, or you can phone (972) 243-2272 to apply over the phone. Only individuals who were members of the AARC at the time of the disaster are eligible for grants from this fund. You will also receive a one-year extension of your membership

* = Required

Name *
Member number *
   
Current address *

State *
Zip *
   
Address of
destroyed property
(if applicable)


State
Zip
   
Daytime phone number *
E-mail address *
   
Your reason
for requesting funds
*
   
Your insurance
company’s name
*
Policy number *
Insurance company’s
phone number
*
Estimate of damage/loss *

Leave this field blank

 

 
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