Application - Rutherford County Habitat for Humanity

We are here to help you rebuild after the devastating storms that struck our homes here in Rutherford County. Right now we are working to process as many applications as possible. Please fill out this information to the best of your ability. Make sure your contact information is correct, so we can get back to you as soon as possible.

Disaster Aid Request

First Name

Last Name

Email

Phone Number

Which is the nearest town to your home?

Forest City

Spindale

Rutherfordton

Lake Lure

Chimney Rock

Property Address

Address Line 1

Address Line 2

City

State

Zip Code

What kind of damage was done to your home?

Roof Damage

Wall Damage

Windows/Glass/Doors

Foundation Damage

Flooding

Tree Fell on House/Garage

Tree Is Still On Structure

Tree Blocking Access

Other (describe below)

Which is the MOST URGENT need you have for repair right now?

Roof Damage

Wall Damage

Windows/Glass/Doors

Foundation Damage

Flooding

Tree Fell on House/Garage

Tree Is Still On Structure

Tree Blocking Access

Other (describe below)

Please describe the damage to your home

Have you had an estimate or appraisal for the damages?

Yes

No

Do you have insurance on the property?

Yes

No

Have you applied to FEMA for assistance?

Yes

No

Yes, and I was approved

Yes, but I was denied

Are you physically able to help with the repair work?

Yes

No

Some light work

If you have photos of the damaged area(s), please upload up to six of them here

Choose JPG or PNG Photos