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Hurrican Lala Relief Application

Ka'u Hospital Charitable Foundation is proud to offer assistance to Ka'u residents who suffered losses during the recent Hurricane Lala.

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Reimbursements up to $500 per person are available while funds last.

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Qualifications for reimbursement:

*Must be a full-time employee of Ka'u Hospital

*Must have suffered loss of personal property or home damage during Hurricane Lala

*Must provide receipt of items replaced or repairs made to dwelling

*Provide photos of lost items or home damage if available

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Instructions:  complete the application below.  Fields indicated with "*" are required.  Once approved by the KHCF Board of Directors, a check will be mailed directly to you.  If you have any questions, please email kauhospitalfoundation@gmail.com.

Down you own or rent?
Did insurance cover cost of replacement or repairs?
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