South Carolina Disaster Relief Form

Please complete a separate form for every person participating.

Name

Address

This address will receive a confirmation email

Phone

Do you own this property?

Are powerlines down on your property?

Yes No

Do you have access in and out of your drive?

Yes No

Are trees leaning on or broken through the house?

Yes No

Description of work to be completed

Description

TBD

South Carolina Disaster Relief—We have received many applications for help. Please note that it will be an extended time before we can respond.