ISTA Disaster Relief Application

Please complete this form to apply for ISTA Disaster Relief Financial Assistance. Please upload documentation and photos to support your application.

Full Name
Personal Email
Personal Telephone Number
Preferred Method of Contact

Preferred Method of Contact Email Telephone
Address (Street 1) (No P.O. Boxes)
Address (Street 2)
City, State. Zip
Local Association
School/Worksite
Current Role
Last four (4) digits of SSN
Type of Disaster
Date of Disaster Date of Disaster / MM / DD YYYY
I certify that I am a member of ISTA and the information provided below is true and accurate and reflects the impacts I experienced as a result of the August 2026 Indiana storm damage that is covered under the FEMA major disaster declaration. Check all that apply.

I certify that I am a member of ISTA and the information provided below is true and accurate and reflects the impacts I experienced as a result of the August 2026 Indiana storm damage that is covered under the FEMA major disaster declaration. Check all that apply. My primary resident listed above (or portions of its living area) was damaged. My primary vehicle was damaged. My personal property including, but not limited to, loss of all refrigerated food and/or prescribed refrigerated medicines, downed trees, fencing, outbuildings, etc. was damaged. My classroom or workspace was damaged. Other disaster-related expenses
Written description of damage
Have you received assistance from other sources, such as insurance, FEMA, the Red Cross or other relief organizations?
Are there any urgent needs that remain unmet?
I am requesting $500 from ISTA for damages not covered by insurance, a government program, or any other funding source. I hereby acknowledge that any relief funds I receive from the ISTA August 2026 Indiana storm damage that are covered under the FEMA Major Disaster Declaration Fund may have tax implications, and I am responsible for any applicable taxes.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Your relief aid will be provided in the form of a check. Please indicate where you would like to receive it.

Your relief aid will be provided in the form of a check. Please indicate where you would like to receive it. Mail to the address below. I will pick it up at the ISTA Office indicated below. Enter either the mailing address or the ISTA office where you will receive the check.
Upload documents (Examples: photos of damage (if available), insurance claims or reports, written description of damage, repair estimates or mechanic or contractor assessments, email or written communication from school administration confirming damage, confirmation of damage from an ISTA school representative.) Documentation helps us verify your application and process it more quickly. Applications without documentation may be delayed or denied for relief.