Case Management Contact - Long Term Recovery Group

Request Disaster Assistance

Please fill out the form below to be assigned a recovery case manager.

If you already have a case manager, please do NOT submit another application. It will only slow the process.

There may be a slower-than-usual response time due to the holiday season. All submissions during that time will be returned by end of day January 3rd.

First Name

Last Name

Phone Number

Impacted Address

City

ZIP

Current Address

City

ZIP

If you are a homeowner have you submitted an application to one of our construction partners (Homes and Hope for KY or Samaritan's Purse)?

Yes No

If yes, which one?

Homes and Hope for KY Samaritan's Purse

Request Disaster Assistance

Thank You to the Many Groups for Volunteering Their Time To Serve in Our Community!