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About
Important Facts About Our Program Participants
Program Participant Testimonials
How We Help
Food Support
Social Services
Information Resource & Referral
Case Management
Los Puentes
Community Outreach Programs
Lambertville Academy
How You Can Help
Donations
Donate to Our 2023 Spring Fundraiser Appeal
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Free MARKet Needs
Business-Community Partnerships
Host a Successful Food Drive
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DONATE TO OUR SPRING APPEAL
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Application for Hurricane Ida Relief Fund
More About Ida Grant
Answers to Common Questions
Ida Grant Application
Application for Hurricane Ida Relief Fund
First Name
*
Last Name
*
Contact Phone
*
Contact E-Mail
*
Were you displaced due to Hurricane Ida?
*
No
Yes
Current Address
*
Current Address
Current Address
Current Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Former Address
Former Address
Former Address
Former Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Monthly Income for Household
*
$
type in only numbers
Number of Adults in Household
*
1
2
3
4
5
6
7
8
9
10
Number of Children in Household
*
1
2
3
4
5
6
7
8
9
10
Reason for Request
*
Rent
Mortgage
Utilities
Housing
Auto
Security Deposit
Other
Other
RENT - Reason for request and amount
MORTGAGE - Reason for request and amount
UTILITIES - Reason for request and amount
HOUSING - Reason for request and amount
AUTO - Reason for request and amount
SECURITY DEPOSIT - Reason for request and amount
OTHER - Reason for request and amount
Briefly describe loss from Hurricane Ida
Other Programs
Please check all programs you have submitted applications to and if you have received any funds.
Submitted Applications to Other Programs
FEMA/SBA
City of Lambertville
Red Cross
Saint John’s Outreach Ministry
Go Fund Me (or similar online campaign)
Other
Other
FEMA/SBA Amount
$
.00
City of Lambertville
$
.00
Red Cross
$
.00
Saint John’s Outreach Ministry
$
.00
Go Fund Me (or similar online campaign)
$
.00
Other
$
.00
Total Amount Received
$
.00
Permission
*
I give permission to share my application with other agencies (City of Lambertville, Fisherman’s Mark etc.)
Documents
*
I understand that I may be requested to provide documents to prove identity, residence, and need.
Privacy
*
I will not share the details or amount of funds granted.
Signature
Clear
If you are human, leave this field blank.
Submit
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About
Important Facts About Our Program Participants
Program Participant Testimonials
How We Help
Food Support
Social Services
Information Resource & Referral
Case Management
Los Puentes
Community Outreach Programs
Lambertville Academy
How You Can Help
Donations
Donate to Our 2023 Spring Fundraiser Appeal
Volunteer
Free MARKet Needs
Business-Community Partnerships
Host a Successful Food Drive
News & Events
News
Newsletters
Contact
DONATE
