• Disaster Assistance Primary Residence Verification Form

    Use this form to verify that a damaged property was your primary residence before the disaster. Provide your contact details, residence information, and supporting proof documents.

  • Applicant and Residence Details

  • Format: (000) 000-0000.

  • Primary Residence Verification Evidence

  • Type of Proof Submitted*
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  • Was this property your primary residence at the time of the disaster?*

  • Residence Status and Occupancy Confirmation

  • Date you began living at this address*
     - -
  • Did you live at this address full-time or part-time before the disaster?*
  • Should be Empty:
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