Disaster Relief Terms and Conditions

I certify that to my knowledge I am complying with all laws, statutes and regulations restricting U.S. persons from dealing with any individuals, entities or groups who are subject to economic sanctions imposed by the U.S., such as countries subject to embargoes or groups of individuals, such as terrorists and narcotics traffickers.

To my knowledge, the information I have provided is truthful and accurate.

This payment will be used to provide immediate needs for my household (shelter, food, transportation, medical, basic clothing, electric, water)

No portion of this payment will be used for non-essential purchases such as alcohol, tobacco/vaping, weapons, ammunition, electronics, toys, or other “luxury” items.

If requested, I will provide documentation verifying financial need, losses/damages sustained as direct result of disaster, and/or receipts for how funds were used

I understand that failure to comply with any of these terms will disqualify me from any future assistance from the Jack’s Family Fund and will be reported to human resources.