IGBO® Disaster Relief Application

IGBO® has created a fund to provide assistance to members in a time of need. If you are one of those members, use this form to request assistance. To make certain your request is given full and appropriate consideration, please make certain to complete the form accurately and completely.

This form is to be completed by the requestor.

Requester Address* (required)

The address listed below is your original address before the disaster occurred. This address must be in one of the disaster areas declared by Local, State or Federal Government and identified on the FEMA website, or comparable site for members outside the United States.

Temporary Address

If displaced, please enter your current address below. Do not complete this field if the Requestor Address above is accurate.

Request Details

Why are you seeking assistance?* (required)

Additional Notes or Comments

Affirmation of content* (required)