Boots on the Ground (BOTG-NGO) | Apply for Disaster Assistance

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Disaster Assistance Application

We understand that disasters can take an incredible toll on individuals, families, and entire communities. While we cannot help everyone who contacts us for assistance, the first step in determining if we can help is completing this application.

IMPORTANT NOTICE: The details you provide in this form will allows us to become aware of a situation so we can evaluate the possibility of providing assistance. Please DO NOT send any private information such as social security number, DD-214, or other documents. If we need anything from you, we will ask. As an independent charity, we can only consider supporting projects that fit directly into our mission, capabilities, and budgetary constraints. If you are unclear on what our mission is or what we do, please read our about page before you submit this form. All applications are processed in the order they are received by our volunteers. We receive many each week, so please be patient. We regret that will only be able to reach out to those whose application specifically fits within these parameters. For this reason, please note that it is also very important that you continue to seek assistance elsewhere from other organizations; this can be a time consuming process and there are many organizations that may be better suited to help you directly with your particular needs.

Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Who is this request for?*
- Yourself
- A family member
- A friend
- Other (please explain)
If you chose other above, please provide details.
What date did did this event or situation take place?*
Please provide an overview of the situation you are contacting us about:*
If you have photos that would help us better understand the situation you are sharing, please upload them.
Drop files here or
Is the assistance being requested for a veteran?*
- Yes
- No
If BOTG could provide assistance, what is the ultimate outcome you're looking to achieve?*
*
I, the above named applicant, hereby declare that the information I have submitted is true and correct to the best of my knowledge. I understand that if any of the details I've provided are found to be inaccurate or false, that my application will not be considered any further. I hereby affirm that I understand that this form is simply an opportunity for me to submit a request for assistance, and that it in no way obligates BOTG in any manner whatsoever to provide assistance to me or any other party. I hereby affirm that I understand that my submission of this form in no way creates a contract between myself and BOTG. I accept that I am not obligated to agree to these terms, but if I do not accept these terms my submission will not be reviewed and no further action will be taken by BOTG.
- I Agree
- I Disagree
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