SCTE Foundation Disaster Relief Fund Grant Request Form

Other Household Members? *
Do you have homeowners or renters insurance? *
If so, does it cover temporary living expenses?
Have you lost your income as a result of this disaster? *
Type of Hardship: *
Authorization *
Direct Deposit If a grant is awarded, please select the “Yes, I want direct deposit” radio button if you would like your relief assistance electronically deposited into your bank account. Your bank routing and account numbers will be collected following the notification
Share Your Story - Do you give the SCTE Foundation permission to contact you in order to share your story? *