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Request Aid for Hurricane Zeta
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Aid Information
What type of aid are you requesting?
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Supplies
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How much financial aid are you requesting? (Max: $250)
Explain your claim and impact to this disaster
Request Severity
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Other Information
Have you recently evacuated because of Zeta?
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Awaiting Orders
Are you currently unemployed or furloughed?
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Number of Household Members
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Request Aid for Hurricane Zeta