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Note that not all such events will meet the criteria for relief assistance. Any individual item, or combination of items below, has a maximum of $10,000. |
Qualifying Event Criteria (please check all that apply)*: |
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Job Status*: |
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Please contact your immediate supervisor or manager if you are unsure of the local HR representative nearest you. |
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Please provide a summary of the catastrophic event and the financial losses associated with the event. You can attach any supporting documents on Step 5. |
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