IA Modernization- RI Questions Online Registration

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DisasterAssistance.gov

Ouser •

Privacy Act Statement & Declaration
of Eligibility
FEMA is required by law to give you a copy of the
Privacy Act statement.
The Privacy Act of 1974 protects your ri ghts as to how
FEMA uses and shares your information with entities
such as states, tribes, local governments, and other
organizations. The Stafford Act and other laws allow
FEMA to collect information to determine eligibility
and provide assistance after a Presidentially declared
disaster.
If you get FEMA and your insurance or other sources
cover the same loss, you may be required to return
some or all of the FEMA assistance you received.
To qualify for assistance, you must declare that you or
someone in your household is a citizen, non-citizen
national, or a qualified alien of the United States. If
you provide false information or lie in an attempt to
get assistance, it violates federal and state laws, which
carry criminal or civil penalities or both.
You authorize FEMA and the state, tribe, or local
government to verify all of the information you
provide and request documentation from your
insurance company, or other third parties, to
determine your eligibility for assistance.
The disclosure o f information, including Social
Security number, on this form is voluntary; but failure
to provide the informat ion we request may delay or
stop you from getting disaster assistance.
I Consent