GFF Quick Application

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Quick Application

Please complete and submit your application. A GFF representative will be in contact with you.

Name(Required)
My Communication Preferences(Required)
Address(Required)
Status(Required)
Which category do you think the incident (that caused the financial hardship) falls under?(Required)
MM slash DD slash YYYY
Do circumstances threaten you or an immediate family member’s health and/or welfare?(Required)
Is your request for short-term assistance?(Required)
Are you/the affected person covered by medical or disability insurance?(Required)
If your home was damaged, will insurance cover any part of the cost?(Required)
Have you applied for financial assistance from GFF before?(Required)
Max. file size: 100 MB.