Are you living on your property? Yes        No
If not, where are you living?
Is this Permanent     Temporary

Did you receive: FEMA      SBA           SSGP        Other:

If so, are you saving the monies for rebuild and where are the funds being held? (enter info in box below)

Home status:    own my home      r ent

If owned, my home was: Completely permitted       Partially permitted          Not permitted

Insurance:   Insured       Underinsured        Uninsured

Do you want to live on the property while you rebuild? Yes          No

For Renters:
Is the place where you are living a permanent situation?  Yes   No    If no, why not?  

Does the landlord plan on rebuilding?    Yes      No

Have you contacted the landlord?       Yes      No