THIS IS NOT AN APPLICATION FOR ASSISTANCE.
The purpose of this document is to gather damage information and does not guarantee State or Federal assistance. If you have insurance, you should contact your agent. Even if your damages are manageable, please complete this survey as the total losses may help others to qualify.
Thank you for contacting 211 LA. One of our Community Resource Advisers will contact you back very soon.
Please complete the required * fields below and click submit. Once submitted, a 211 operator will contact you.