Homeowner Assistance: Online Complaint Form – Restore Louisiana Task Force

For questions about the program, call 866-735-2001, Monday through Friday, 8 a.m. to 5 p.m.

Homeowner Assistance: Online Complaint Form

Complainant Name

First

Last

Account ID (if applicable)

Phone

E-mail

Confirm Email

Damaged Address

Address Line 1

Address Line 2

City

State

Zip Code

Checkboxes

Check this box if your mailing address is different from address of the flood-affected home.

Nature of my complaint

Date Completed

Name