If your home or household is still recovering from Hurricane Helene, we encourage you to take the next step.

Please use the form below to let us know where things stand. This form is for individuals and families in Pickens County who are still living with storm-related damage, repair needs, or recovery hardships they haven't been able to address on their own.

Submitting this form does not guarantee assistance, but it is how we learn about your situation and determine what may be available to you. Once you submit, a case manager will reach out to gather a few more details and talk through possible next steps together.

  • Current SECTION 1: CONTACT INFORMATION
  • SECTION 2: PROPERTY OWNERSHIP & DAMAGE VERIFICATION
  • SECTION 3: INSURANCE & FEMA
  • SECTION 4: HOUSEHOLD INFORMATION
  • SECTION 5: ASSISTANCE NEEDS
  • SECTION 6: CERTIFICATION & CONSENT
  • SECTION 7: REQUIRED DOCUMENTS
  • SECTION 8: CASE NOTES
  • Complete

Confidential- for internal use only

SECTION 1: CONTACT INFORMATION

Applicant Full Name
Co-Applicant/Spouse Full Name (if applicable)
Current Address
If different, address of property damaged by Hurricane Helene
My preferred contact method is: