January 2023 Tornadoes

Please complete this form to determine your potential eligibility for assistance.

Welcome to the 2023CDBG-DR Homeowner Rehabilitation and Reconstruction Program (HRRP) Survey. Completion of this survey is required for participation in the HRRP. Basic questions relating to your home and household will be gathered and you will be notified when the HRRP begins accepting applications. The entire survey must be completed to submit. Please do not close your browser until you have completed the survey and submitted. Sincerely, The Georgia Department of Community Affairs Team

Fields marked with an are required.

Contact Information

First Name

Last Name

Would you like to receive text updates about this program?

Yes

Would you like to receive email updates about this program?

Yes

Property Address

Street Address

Unit

City

State

Zip Code

County

Property Information

Did your property sustain damage from the January 12th, 2023 tornadoes?

Yes

Was this property your primary residence at the time of the January 12th, 2023 tornadoes?

Yes

What is your ownership status for this property?

What type of structure is this property?

Household Information

How many people live in your household?

Is anyone in your household over the age of 62?

Yes

Is anyone in your household under the age of 18?

Yes

Does anyone in your household have a disability?

Yes

What is your annual household income?