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Weil, Gotshal & Manges LLP Sandy Disaster Assistance: FEMA Appeals Adam Strochak Adam Bookman December 2012.

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Presentation on theme: "Weil, Gotshal & Manges LLP Sandy Disaster Assistance: FEMA Appeals Adam Strochak Adam Bookman December 2012."— Presentation transcript:

1 Weil, Gotshal & Manges LLP Sandy Disaster Assistance: FEMA Appeals Adam Strochak Adam Bookman December 2012

2 Weil, Gotshal & Manges LLP Overview of FEMA Disaster Assistance ■ Federal disaster response is governed by the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. § 5121 et seq.) ■ Administered by the Federal Emergency Management Agency ■ Multiple programs, two general models: ■ Federal support for state disaster response and recovery ■ Direct federal payments to individuals and families ■ Examples: ■ Hotel vouchers – FEMA Transitional Shelter Assistance program (state-federal partnership § 403) ■ Payment to states for repair, restoration and replacement of damaged facilities (must be funded by Congress – § 406) ■ Direct assistance to individuals and families (§ 408) 1

3 Weil, Gotshal & Manges LLP Assistance to Individuals and Families ■ Authority ■ Stafford Act § 408, 42 U.S.C. § 5174 ■ 44 C.F.R. §§ 206.110 to 206.120 ■ Authorizes FEMA to activate various forms of assistance in response to a disaster ■ FEMA has discretion to choose what assistance it makes available to any disaster ■ Options under FEMA’s Individuals and Households Program: Temporary housing assistance – direct assistance and financial assistance Repair – return dwellings to safe and sanitary condition Replacement of private residences Permanent or semi-permanent construction of housing Medical, dental, and funeral expenses Personal property replacement, transportation, moving and storage 2

4 Weil, Gotshal & Manges LLP Assistance to Individuals and Families (cont’d) ■ Applicant’s residence at time of the disaster must be in a county declared a federal disaster area: ■ New York: Bronx, Kings (Brooklyn), Nassau, New York, Orange, Putnam, Richmond (Staten Island), Rockland, Suffolk, Sullivan, Ulster, Westchester, and Queens; ■ New Jersey: all counties ■ How to Apply: ■ Online: www.DisasterAssistance.gov (preferred)www.DisasterAssistance.gov ■ Phone: (800) 621-3362 ■ Visit a FEMA Disaster Recovery Site 3

5 Weil, Gotshal & Manges LLP Assistance to Individuals and Families (cont’d) ■ Assistance is intended to meet specified short-term needs not covered by insurance or other government benefit programs ■ Individuals and Households Program is not intended to restore people to pre-storm conditions ■ General requirements ■ Must be related to primary residence ■ Covers personal residential costs, not business costs ■ FEMA awards are determined based on a household ■ FEMA presumes that individuals living together constitute a single household, but applicants can demonstrate that they live separately ■ Financial assistance is capped at $31,900 per household ■ Assistance may be available through SBA loans (applying to SBA is not required to qualify for housing assistance, but is required for “other needs” assistance) 4

6 Weil, Gotshal & Manges LLP FEMA Housing Assistance ■ Direct Assistance – temporary housing provided by FEMA (other than hotel vouchers, which is a separate program) ■ Financial Assistance – payments to individuals and households ■ Rental Assistance ■ Initial grant of rental assistance generally covers two months calculated at 125 percent of existing HUD Fair Market Rates ■ Recertification process for additional grants of rental assistance (44 C.F.R. § 206.114) ■ Repair and replacement of essential household items not covered by insurance to make damaged dwellings safe, sanitary and functional ■ Personal property replacement – covers cost of replacement necessities, not all property damaged by the storm ■ Moving and storage expenses 5

7 Weil, Gotshal & Manges LLP Recoupment of Assistance 44 C.F.R. § 206.116 ■ Applicants must return funds to FEMA when FEMA determines that: ■ the assistance was provided erroneously; ■ applicant spent the funds inappropriately; or ■ applicant obtained the assistance through fraudulent means. ■ Reasons for recoupment include: ■ Duplication of benefits within a single household ■ Duplication of benefits with insurance ■ Damaged dwelling not primary residence ■ Failure to maintain flood insurance ■ Overpayment of assistance 6

8 Weil, Gotshal & Manges LLP FEMA – Appeal Process ■ FEMA decision arrives by mail ■ Use FEMA Applicant’s Guide to decipher ineligibility codes ■ Applicant or counsel should call and speak with a caseworker to try and get the decision changed ■ If a call is unsuccessful, the only appeal available is administrative and is processed by FEMA employees ■ Appeal process is set forth at 44 C.F.R. § 206.115 ■ No right to a hearing ■ No prohibition on ex parte contacts; no rules of evidence; hearsay permissible ■ Paper submission only, usually no opportunity to speak with decision maker ■ No judicial review 7

9 Weil, Gotshal & Manges LLP FEMA – Appealable Determinations 44 C.F.R. § 206.115(a) ■ Eligibility for assistance ■ Amount or type of assistance (including recoupment) ■ Cancellation of an application ■ Rejection of a late application ■ Denial of continued assistance ■ Intent to collect rent on housing provided by FEMA ■ “Any other eligibility-related decision” 8

10 Weil, Gotshal & Manges LLP Appeal Requirements ■ Must explain reason(s) for the appeal in writing - 44 C.F.R. § 206.115(b) ■ Must be signed by applicant or authorized representative - 44 C.F.R. § 206.115(b) ■ Authorized representatives must use special FEMA form ■ Must be sent within 60 days of FEMA’s decision mailing date - 44 C.F.R. § 206.115(a). ■ The deadline is not jurisdictional like a federal court appeal, so file even if late. FEMA may consider late appeals ■ Lawyers assisting applicants can request the applicant’s complete file from FEMA ■ Requires a signed release meeting FEMA requirements 9

11 Weil, Gotshal & Manges LLP Effective Appeal Strategies ■ Include all relevant evidence you want considered, in the best form available ■ Examples: affidavits, declarations or other statements, receipts, any other type of documentation ■ Include copy of full file (or selected portions if sufficient) ■ Document any special medical needs or any allegations of illegal discrimination ■ Include FEMA registration number on every page submitted ■ Counsel clients to keep records – all correspondence to/from FEMA, log of phone contacts, receipts for rent and other expenses 10

12 Weil, Gotshal & Manges LLP Typical Appeal Issues ■ Shared households ■ Extended families living together ■ Undocumented subletting ■ Families divided by storm ■ Divorce/separation pre- or post-storm ■ Recertification requirements – continued need for assistance ■ Insurance requirements and denials of coverage – time lag ■ Partial denials ■ No flood insurance – required only if applicant received assistance from a prior disaster ■ Damaged home not primary residence 11


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