Application for Disaster Relief Assistance

                                                             

Type of Assistance

Assistance is available to qualified applicants towards one of the following options:

1) Monthly mortgage expense for the primary residence that was damaged by the Tornado Outbreak of April 26, 2024, or

2) Rental cost due to displacement from the primary residence resulting from the Tornado Outbreak of April 26, 2024, or

3) Hotel reimbursement due to displacement from the primary residence resulting from the Tornado Outbreak of April 26, 2024.  

Relief assistance is limited to a maximum of $2,000 per household. 

Deadline for application submission is July 12, 2024.

Please note this assistance is for housing relief only; other expenses including second mortgages (home equity lines or loans), clothing, appliances, equipment, vehicle purchase, rental or repair and or mileage are ineligible for reimbursement under this program.

Eligibility

Recipient must be a full-time resident and U.S. citizen or legally admitted for residence in the United States. 

Confidentiality

All information provided on this form will remain confidential and will be available only to those who need to confirm eligibility for assistance and to those who process the assistance to be provided. This includes providing a copy of this application to the applicant's lender or landlord, if requested. It will not be shared with other parties for any other purpose.

Disbursement of Funds

In order to provide for a reasonable and equitable distribution of funds, assistance will be provided on a first come, first serve basis. All grants are contingent upon the availability of funds. Grants will be payable to applicant.


Attachment Checklist

Required for All Applicants                            

1.  Photo Identification to Show Proof of Residency [i.e. driver's license or other governmental documentation evidencing residency]                            

2.  Copy of Mortgage Statement or Rent Statement or Lease Agreement or Hotel Receipt                            


One of the Following is Required to Show Proof of Damage to your Primary Residence:

a. Photos of Damages

b. Insurance Estimate

c. Copies of Written Claims, Settlement Proceeds or Claim Status Reports

d. Copies of Repair Estimates from Contractors

All documentation is to be uploaded on the final section of this application.

Fields marked with an * are required.

Please verify that you have checked the “I'm not a robot” checkbox.

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General Information
Please complete all information to be considered for assistance.

Street Address of Damaged Property

Single Family
Condo/Townhouse
Other

Are you or is anyone in your family a REALTOR® or Affiliate member affiliated with Omaha Area Board of REALTORS® or Nebraska REALTORS® Association? (Reminder: everyone that meets the eligibility and qualifies for the type of assistance will remain eligible regardless of being a REALTOR® member or being related to a REALTOR® member or affiliate.)

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Property Information/Description of Loss
Describe damage/loss relating to your primary residence:

Describe damage/loss relating to your primary residence:

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Other financial assistance you have received

Provider Description of Services Amount Received

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Please indicate type of assistance sought:

Please indicate the type of assistance you are seeking by selecting from the options below. On the final page of the application, you will have the opportunity to upload all pertinent documents. It is crucial that you upload all required documents to ensure the timely processing of your application.

Amount of monthly housing obligation:

Amount of monthly housing obligation:

Hotel charges while displaced:


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Important: Current mailing address

Current mailing address if different than address provided on page 1.


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Declaration

The will be used by the Nebraska REALTORS Association and the NAR REALTORS Relief Foundation. 

I certify that all information provided in this electronic application is true, complete, and accurate to the best of my knowledge. I agree that the lender/service provider or landlord listed may be contacted to verify information contained in this application. I also provided all supplemental documents as required.

By electronically signing this application, I acknowledge my responsibility to provide truthful and accurate information. Printing my name below is equivalent to my signature.

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Documentation

Required Documents Upload Instructions:

  • Please upload all required documents.
  • Ensure that each document is clear and legible.
  • File formats accepted include PDF, DOC, DOCX, or JPG.


  • Photo Identification to Show Proof of Residency            
  • Copy of Mortgage Statement or Rent Statement or Lease Agreement or Hotel Receipt                            
  • Proof of Damage to your Primary Residence
    • Photos of Damages, Insurance Estimate, Copies of Claims, Copies of repair estimates

20MB max

Required Documents Upload Instructions:

  • Please upload all required documents.
  • Ensure that each document is clear and legible.
  • File formats accepted include PDF, DOC, DOCX, or JPG.


  • Photo Identification to Show Proof of Residency            
  • Copy of Mortgage Statement or Rent Statement or Lease Agreement or Hotel Receipt                            
  • Proof of Damage to your Primary Residence
    • Photos of Damages, Insurance Estimate, Copies of Claims, Copies of repair estimates

20MB max

Required Documents Upload Instructions:

  • Please upload all required documents.
  • Ensure that each document is clear and legible.
  • File formats accepted include PDF, DOC, DOCX, or JPG.


  • Photo Identification to Show Proof of Residency            
  • Copy of Mortgage Statement or Rent Statement or Lease Agreement or Hotel Receipt                            
  • Proof of Damage to your Primary Residence
    • Photos of Damages, Insurance Estimate, Copies of Claims, Copies of repair estimates

20MB max

Required Documents Upload Instructions:

  • Please upload all required documents.
  • Ensure that each document is clear and legible.
  • File formats accepted include PDF, DOC, DOCX, or JPG.


  • Photo Identification to Show Proof of Residency            
  • Copy of Mortgage Statement or Rent Statement or Lease Agreement or Hotel Receipt                            
  • Proof of Damage to your Primary Residence
    • Photos of Damages, Insurance Estimate, Copies of Claims, Copies of repair estimates

20MB max