Emergency & Disaster Forms

4 forms available. Fill online with BeneFill. Auto-fill from your profile and download completed PDFs.

Crisis Counseling Program (CCP) Application

CCP grant application · FEMA / SAMHSA

moderate

Application for federal grant to provide crisis counseling services after a Presidential major disaster declaration. Two programs: Immediate Services (60 days) and Regular Services (9 months). Services free to all survivors.

57% auto-fill22 min saved35 fieldsSubmission guide included

FEMA Continued Temporary Housing Assistance

FF-104-FY-21-115 · FEMA

moderate

Application for continued temporary housing assistance beyond the initial period following a disaster.

67% auto-fill22 min saved30 fieldsSubmission guide included

FEMA Declaration and Release

FF-104-FY-21-128 · FEMA

easy

Declaration and Release form requested after initial FEMA application to verify information and authorize review of records.

75% auto-fill10 min saved20 fieldsSubmission guide included

FEMA Individual Assistance Application

FEMA IA Application · FEMA

moderate

Application for FEMA disaster assistance including temporary housing, home repair, personal property replacement, medical/dental, and other disaster-related needs. Apply at DisasterAssistance.gov, FEMA app, or 1-800-621-3362.

60% auto-fill33 min saved50 fieldsSubmission guide included