Application for Emergency Housing
Uninsured Homeowners Application For Temporary Housing/Camper
ADDRESS OF DAMAGED RESIDENCE
CAMPER DELIVERY ADDRESS (Where would YOU like the camper parked?)
How many people will be sleeping in the camper?
5 or 6
7 or more
Please Describe Your Situation
please share the details of your circumstances with us so that we can best work to help you. please write a thorough description of your situation and what is needed regarding temporary shelter.
Thank you! Your submission has been received!
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Homeowners may elect to pay LSN Foundation directly upon delivery. Campers have 30 amp hookup for power, standard water hose, and will need to dump sewage into a sewer system.
After a disaster, scam artists, identity thieves, and other criminals often attempt to take advantage of disaster survivors. We encourage survivors to watch for and report any suspicious activity.
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