Request for Appointment

Fill out this form to schedule an appointment with one of our Recovery Navigators. Please allow up to two weeks to be contacted as we get through the current backlog of submissions. We appreciate your patience and understanding.

Name(Required)

Phone Number(Required)

Email(Required)

County of residence at the time of the Marshall Fire and Wind Event (December 30, 2021)(Required)

How would you describe your loss (so that we can best prepare for the appointment and coordinate your needs):(Required)

A total loss

Smoke damage

Water damage

My dwelling is standing but I had to move out for repairs

My dwelling is standing but a total loss

My dwelling is standing and livable but in need of repairs