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Homeowner Recovery Program Forms

Applicant Certification

This form is used to verify your eligibility by authorizing Volusia County to request information from third parties, such as insurance providers, government agencies, and financial institutions. This form is used to certify that you currently have no taxable income. It certifies that all information provided is true and accurate. It also confirms your understanding of program requirements and grants access to inspect the property as needed.

Appeal Form

This form is used to request a review if you disagree with a program decision, such as eligibility, award amount, or scope of work. You may be required to provide additional information or documentation to support your appeal.

Communication Designee Authorization

This form is used to authorize another person to communicate with program staff on your behalf.

Communications Designee Revocation

This form is used to remove or cancel a previously authorized communication designee.

Name Affidavit

This form is used to verify your legal name or document any name differences that appear on your records.

No Insurance Affidavit

This form is used to confirm that you did not have insurance coverage at the time of the related disaster(s).

Photo Release

This form is used to grant permission for photos of your property or project to be used for outreach purposes.

Storm Damage Statement

This form is used to provide a statement confirming damage to your property caused by the storm event.

Tenant Disclosure

This form is used to confirm whether your property is owner-occupied or has tenants living in the home.

Warranty Form

This form is used to report and document any issues with completed repairs so they can be reviewed and resolved in accordance with program warranty standards.

Zero Taxable Income

This form is used to certify that you currently have no taxable income.