Apply for Assistance (Business/Community Organization)

Helene Aid (Businesses/Organizations)

Step 1: Business/Organization Contact Information

First Name

Last Name

Business or Community Organization Name

What is your role in the business/organization?

Phone/Mobile

Primary Address of Business or Community Organization

Address Line 1

Address Line 2

City

State

Zip Code

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Newsletter Signup

Yes, I’d like to receive emails with news and updates from RHSA.

Step 2: Eligibility Criteria

This section will determine how we may be able to assist you.

Select all that apply

I am the owner/operator of an affected business.

I am a representative for a community organization affected by Hurricane Helene.

My business/organization experienced building damage during Hurricane Helene.

My business/organization experienced property damage or loss (such as equipment or inventory).

My business/organization was indirectly affected by Hurricane Helene (such as loss of clients, revenue, etc.).

Damages Details

Please note that although we will do our best to provide assistance, we may not be able to provide the full amount requested. We would still like to understand your overall need to better assess the situation.

Describe how Hurricane Helene impacted your business or organization, either directly or indirectly.

Documentation

Please upload up to 10 images (5mb or less) to show damages to your business. This is not required initially, but someone with RHSA may reach out if we need further information regarding your request.

File Upload

Choose Files

What is the estimated total physical damage to your building?

What is the estimated total damage of property loss?

How will these funds be used to address your building damage or property damage/loss?

What is the total estimated loss for your business? I.e., lack of clients, lost revenue, etc.

Describe how these funds will support operation recovery for your business or community organization.

Are you receiving any other sources of relief? I.e., charities, grants, etc. Please list those below. If none, leave blank.

If you qualify, is a one-time payment neccesary for your needs or would it be acceptable to pay you in scheduled payments over time as more funds become available?

One-time payment is necessary

Payments over time are fine

Confirm Your Application

By checking this box, you confirm that all the information you have provided is true and accurate, and you understand that an RHSA representative may contact you for additional documentation or information if necessary.