East Montpelier, VT · Washington County
Property/Business Owner Flood Damage and Assistance Affidavit
This affidavit documents flood damage, recovery assistance received, and consent to release assistance information for property or business owners seeking Vermont CDBG-DR program assistance.
At a glance
- Issued by
- City of East Montpelier · East Montpelier, Washington County, Vermont
- Notarization
- Required: sign this form in front of a notary before filing it.
- Official source
- eastmontpeliervt.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Property or business owners use this affidavit to report flood damage, list recovery funds received, document proof of need, and authorize agencies to share assistance information with Vermont’s Agency of Commerce and Community Development. The form also requires applicants to report later payments and acknowledges that misrepresentation may affect eligibility or assistance. The form identifies the CDBG-DR program and the Agency, rather than setting out a city filing requirement.
Who needs it
Property or business owners seeking CDBG-DR assistance for flood damage complete the affidavit and disclose related recovery funds and other assistance.
Why it needs a notary
The form carries an acknowledgment block, where each applicant whose signature appears on the affidavit personally appears and acknowledges signing before the notary.
How to get this notarized
- 1
Download the Affidavit
Get the three-page Property/Business Owner Flood Damage and Assistance Affidavit.
- 2
Fill In Applicant and Damage Details
Complete the property, flood damage, assistance received, and proof-of-need sections; attach the required verification and supporting documents.
- 3
Book an Online Notary
Schedule a remote appointment with a commissioned online notary and confirm the program accepts the notarization.
- 4
Sign During the Video Appointment
Each applicant signs and acknowledges the affidavit before the notary during the appointment.
- 5
Submit for CDBG-DR Assistance
Follow the submission instructions for Vermont’s Agency of Commerce and Community Development CDBG-DR program.
Preview the form
The blank PDF straight from East Montpelier. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- What information does this flood assistance affidavit request?
- It asks for the property address, flood damage amount, recovery assistance funds received, proof of need, and authorization to release assistance information to Vermont’s Agency of Commerce and Community Development.
- Do I need to list assistance I receive after signing?
- Yes. The affidavit says applicants will notify the Agency of Commerce and Community Development if they receive additional proceeds or payments, whether or not those amounts are listed on the form.
- How do I get this affidavit notarized online?
- Book a session with a commissioned online notary and sign during the video appointment. Vermont law allows remote notarization by a notary commissioned in Vermont who holds the required Special Endorsement; 26 V.S.A. § 5379. Check with the program about acceptance.
- Where should I submit the completed affidavit?
- The form identifies Vermont’s Agency of Commerce and Community Development and its CDBG-DR program. Follow the program’s submission instructions; confirm with the town or city clerk if unsure.