Catastrophic Application

Catastrophic Assistance Application

Step 1 of 5

Is your application related to Hurricane Helene?(Required)

What Department do you work for?(Required)

What state do you work in?(Required)

Please refer back to your facility

We are unable to accept an online application. Please contact the Warden’s Office at your facility and tell them you would like to apply for Catastrophic Assistance through the Correctional Peace Officers Foundation.

Please refer back to your facility

We are unable to accept an online application. Please contact the Warden’s Office or HR Department at your facility and tell them you would like to apply for Catastrophic Assistance through the Correctional Peace Officers Foundation.

Hurricane Helene Assistance Information

Your catastrophic application cannot be processed online. Due to the large need created by Hurricane Helene, we are unable to accept applications online for catastrophic assistance. In our desire to help as many people as quickly as possible, please contact the Warden’s Office at your facility and tell them you would like to apply for Catastrophic Assistance through the Correctional Peace Officers Foundation. If you are an employee of the Federal Bureau of Prisons, please apply with your local union president. CPOF is unable to offer catastrophic assistance for loss of food, power loss or vehicle damage. Assistance is only available when related to your primary residence.

Employee Information

Personal Data and Contact Information is kept confidential

Application Date(Required)

Employee Name(Required)

First Last

Last 4 of SSN(Required)

Date of Birth(Required)

Home Address

Street Address City State ZIP Code

Phone(Required)

Email(Required)

Are you married?(Required)

Yes

Spouse Name(Required)

First Last

Spouse Occupation

Do you have children living in the home?(Required)

Yes

Children's Name and Ages (living in the home)(Required)

Please provide names and ages of all children living in the home to complete your application.