Edit, Download, and Sign the Lee County SHIP Program Disaster Application Form
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How do I fill this out?
To fill out this form, you will need to gather all required information and supporting documents. Follow the detailed instructions provided in the application form. Ensure that the form is completed in its entirety, signed, dated, and notarized where applicable.

How to fill out the Lee County SHIP Program Disaster Application Form?
1
Complete the applicant information section.
2
List all household members and provide their information.
3
Attach supporting documents as required.
4
Sign, date, and notarize the form where applicable.
5
Submit the completed application package to the designated office.
Who needs the Lee County SHIP Program Disaster Application Form?
1
Homeowners in Lee County affected by a disaster who need financial assistance for repairs.
2
Residents of Cape Coral who want to learn about disaster assistance programs.
3
Special needs households seeking priority assistance.
4
Homeowners with an annual income not exceeding 80% of the Area Median Income (AMI).
5
Contractors hired to fix disaster-related damages seeking payment from the SHIP Program.
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What are the instructions for submitting this form?
Submit the completed application via email to SHIPhousing@leegov.com with the subject line 'LAST NAME, FIRST INITIAL Disaster Assistance'. If unable to email, drop off the application at the Community Development/Public Works building located at 1500 Monroe Street, 2nd Floor, Downtown Fort Myers. Ensure all required documents are included and retain copies for your records.
What are the important dates for this form in 2024 and 2025?
The application must be submitted as soon as possible following a disaster event to ensure timely assistance. Specific deadlines will be provided based on the disaster occurrence.

What is the purpose of this form?
The Lee County SHIP Program Disaster Application Form is designed to provide financial assistance to eligible homeowners affected by disasters. The program aims to help homeowners repair and restore their primary residence, ensuring safe and habitable living conditions. By completing and submitting this form, applicants can access funds to cover repair costs, subject to program restrictions and eligibility criteria.

Tell me about this form and its components and fields line-by-line.

- 1. APPLICANT INFORMATION: Provide your legal name, mailing address, email address, date of birth, marital status, and other required fields.
- 2. CO-APPLICANT/OTHER HOUSEHOLD MEMBER INFORMATION: List all members of the household residing in the unit and their details.
- 3. ALTERNATE CONTACTS INFORMATION: List contacts who are helping you through the application process.
- 4. HOUSEHOLD COMPOSITION AND CHARACTERISTICS: List the current head of household and all other members, including their relationship, gender, date of birth, and marital status.
- 5. RACE AND ETHNICITY FOR HEAD OF HOUSEHOLD: Provide race and ethnicity information for reporting purposes only.
- 6. INCOME INFORMATION: Provide details on all household income sources for members over age 18.
- 7. ASSET INFORMATION: List assets for all household members, including accounts, investments, property, and retirement funds.
- 8. DISCLOSURE OF INFORMATION FOR INCOME VERIFICATION: Sign to authorize Lee County to verify employment, bank statements, and other asset balances.
- 9. ELIGIBILITY RELEASE: Sign to allow Lee County to request information from third parties concerning eligibility and participation.
What happens if I fail to submit this form?
Failure to submit the form may result in a delay or denial of disaster assistance.
- Ineligibility for Assistance: Applicants who do not submit the form will not be eligible for financial assistance.
- Delayed Repairs: Without assistance, homeowners may face delays in repairing disaster-related damages.
How do I know when to use this form?

- 1. Homeowners with Disaster-Related Damages: If your home has been damaged by a disaster, use this form to apply for assistance.
- 2. Eligible Income Households: Households with an annual income not exceeding 80% of the AMI should use this form.
- 3. Primary Residence Owners: Owners of primary residences with documented homestead exemption status should use this form.
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What supporting documents are required for this form?
Supporting documents include copies of IDs, birth certificates, benefits letters, paystubs, bank statements, proof of FEMA application, homeowner's insurance declaration page, and contractor estimates.
How do I submit the completed application?
Submit the completed application via email to SHIPhousing@leegov.com or drop it off at the Community Development/Public Works building at 1500 Monroe Street, 2nd Floor, Downtown Fort Myers.
Who is eligible for the SHIP Program Disaster Assistance?
Homeowners in Lee County whose annual income does not exceed 80% of the AMI and who have documented disaster-related damages.
Are mobile homes eligible for assistance?
No, mobile homes on leased lots are not eligible for assistance.
What is the maximum amount of assistance available?
The maximum amount of assistance is $10,000, dependent upon proof of a homeowner's insurance policy showing the deductible amount.
What happens if I don't submit all required documents?
Incomplete applications may be delayed or denied. Ensure all required documents are submitted with your application.
How will I know if my application is approved?
You will be notified by Lee County if your application is approved and provided with further instructions for receiving assistance.
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