Disaster Relief

Disaster Response History

Catholic Charities of the Diocese of Owensboro formed a dedicated Disaster Relief Team following the devastating December 2021 tornadoes that struck western Kentucky communities such as Dawson Springs, Mayfield, Princeton, and Bremen. Since then, our team has continued to walk with families in times of crisis—most recently responding to the spring 2025 storms and flooding across western Kentucky, while also supporting recovery efforts in other parts of the state through case management.

Whenever disaster strikes, Catholic Charities is ready to respond swiftly and compassionately. With a proven track record of service, we remain committed to offering hope, healing, and practical assistance to our communities during their most difficult times.

Disaster Recovery Initial Intake Form

Disaster Intake Form

This form is to assist workers in obtaining essential information necessary to refer for disaster case management and/or other services as requested by the Applicant

Email

This field is for validation purposes and should be left unchanged.

Client & Spouse information

Name

First Middle Last

Gender

Male

Female

Date of Birth

MM/DD/YYYY

Preferred Lanuguage

Spouse Name

First Middle Last

FEMA #

(if applicable)

Disaster #

(if applicable)

Who is the FEMA Registrant

(if different from Client)

Are you the FEMA Registrant?

Yes

No

If no, name of registrant and relationship:

Contact Info

Phone Number

Alternative Phone Number

Phone Number

email address

Is there someone else we can contact on your behalf?

Name: Phone: Email:

Post-Disaster & Pre-Disaster Address

Current living situation

Same as pre-disaster address

Temporary housing

Living in shelter/hotel

Staying with friends/family

Other

Are currently homeless?

Yes

No

Current Address (Post-Disaster)

Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country

Pre-Disaster Address (if different)

Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country

Type of residence before disaster

Owned	Rented	Shared with others	Other

Risk/Unmet Needs

Disaster Impact

Lost home or propertyLost income or employmentInjury or emotional distressDeath or missing loved one

Select all that apply

Other major impacts:

Household Information

Number of Adults

Please enter a number from 1 to 20.

Number of Children (under 18)

Please enter a number from 1 to 20.

Total number of people in household

Please enter a number from 1 to 20.

Unmet Disaster Recovery Needs Assesment

Advocacy - Benefits, FEMA, Legal, Agricultural, Other, etc.

Self employed, small business, entrepreneurial

Clothing (replacement clothing including winter coats, school uniforms, professional clothing, shoes)

Children and Youth Services (addressing unique needs of household members under the age of 18. Includes day care, recreational opportunities, and emotional care

Domestic Animal Assistance (accommodating or caring for a domestic animal, service animal, or pet)

Education or Job Training (obtaining education or job training to improve employment skills)

Employment (obtaining new employment)

Funeral Assistance (funeral costs, including memorial, transportation or disposition of remains

Functional Needs (services, devices, modifications necessary to maximize independence, safety, community involvement)

Food/Nutrition

Household Goods - Appliances, Furniture, Storage, other

Housing – Permanent (obtaining permanent housing, including rental deposits)

Housing – Temporary (obtaining temporary housing)

Health and Well-Being – Emotional/Spiritual Care (addressing emotional and/or spiritual needs)

Health and Well-Being – Medical Assistance (addressing medically-related needs, including replacement of prescriptions, eyeglasses, medical equipment or access to medical treatment)

Missing Person (locating a missing person)

Repair/Rebuild – Primary (repairing or rebuilding primary residence)

Transportation (transportation, including vehicle replacement, local travel, or moving expenses)

Utilities (restoring or maintaining utilities, including water, electric, gas, heating oil, phone, Internet)

Farm Specific needs

INSTRUCTIONS: Check each need that is relevant for recovery. For each category that is checked, document relevant details in the client’s case notes.

FEMA TIER PRIORITY LEVE

T1	T2	T3	T4

Tier 1: Immediate needs met, stable, some remaining unmet needs; quarterly monitoring to update status or may be closed due to lack of resources for identified need (may be reopened if resource(s) become available during period of performance). Tier 2: Some remaining unmet needs or in current rebuild/repair status; monthly contact to monitor progress. Tier 3: Significant unmet needs: Disaster Recovery Plan being developed and monitored; bi-weekly or weekly contact. Tier 4: Immediate and long term unmet needs, may lack capacity, or be highly dependent on social services due to low literacy, elderly, low income, or disabled; weekly contact

Consent & Signature

Consent(Required)

I agree to the privacy policy.

☐I need help recovering from this disaster
☐I give permission to share my information with organizations that can help.
☐ I understand my information may be entered into a secure disaster relief system
☐ I certify the information I’ve provided is true and complete

Signature

Resources

• Free Legal Services and Crisis Counseling Release
• FEMA Disaster Assistance
• FEMA Asistencia por Desastre
• FEMA Help After Disaster
• La Asistencia Individual de FEMA puede ayudarle a recuperarse
• FEMA Legal Assistance
• Kentucky Legal Aid Flyer
• Kentucky Legal Aid – Español
• General Resource Directories 

Disaster Relief Volunteers

Any individual or organization wishing to volunteer to assist the tornado impacted communities in Kentucky should contact Catholic Charities at 270-852-8343.