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Grant Application - Phase 2

Maui Pono Foundation is here to support you and your loved ones.

If you are a Maui homeowner or renter (18 or older) whose primary residence was lost or became uninhabitable in the Lahaina and Kula fires, please provide your information in the encrypted form below to apply for financial assistance. Assistance will be granted to homeowners and renters but excludes property owners not living in the residence.

Please complete one form for each eligible adult. Maximum 5 adults per address. When your residency within the impacted areas is verified, financial assistance will be provided.

If you need assistance completing this form, please submit your request to info@mauiponofoundation.org.


Thank you for trusting us with your information so that we can support your recovery. We are working hard to send you funds as quickly as possible.

Grant Application - Phase 2

Please confirm that your phone number and email address are correct to ensure you receive follow-up communications and payment information from the Maui Pono Foundation.

Did you rent or own the residence impacted by the fire?

To verify your address, please submit:

1. Photos of government-issued identification, front and back.

2. Mail Document - confirming your residence address. Acceptable forms are: Utility bill, bank statement, cell phone bill, car registration, insurance documents, etc.

Failure to provide acceptable mail documentation will result in denial of application.

Please use the upload buttons below to upload image files such as  JPG, PNG, GIF, JPEG, JPE, JFIF, BMP, HEIC, HEIF, TIFF, TIF, WEBP, JPEG 2000 and RAW. You can upload upload one file per button. 

Upload Front of ID
Upload Back of ID

*** REQUIRED ***

Mail Document confirming your residence address. 

IMAGE OR PDF UPLOAD!

 

Upload 1 file per button!

Upload Mail Document (image file only) here.
Upload Mail Document (PDF file only) here.
Upload additional PDF File here.

Please provide your Bank Account below. Please note that your Bank Account information needs to be under the same name as the one given above!

Failure to provide matching information will result in your payment being declined.

Bank Account Type

Upload below a voided check or a copy of your most recent bank statement showing your name and account number. Choose one of the buttons below for the type of file you want to upload (photo or pdf). 

 

Failure to provide this information will result in your payment being declined.

Upload Photo of Voided Check or Bank Statement here

This upload button is for photos only!

Upload PDF of Voided Chec or Bank Statement here.

This upload button is for PDF only!

Maui Pono Foundation does not discriminate on the basis of race, color, creed, religion, gender, gender identity, national origin, citizenship, age, veteran status, sexual orientation, or status as a person with disabilities.

Maui Pono Foundation is protecting your personal information and using the information only for your direct assistance.

Communication will be made via email from info@mauiponofoundation.org, please add this email to your safe senders list.

Thanks for submitting!

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