THE HARRAH'S FOUNDATION HARRAH'S EMPLOYEE RECOVERY FUND APPLICATION

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					               THE HARRAH’S FOUNDATION: HARRAH’S EMPLOYEE RECOVERY FUND APPLICATION
WHO CAN APPLY: You are eligible to apply for a Recovery Fund grant if:
  •    You were employed at Grand Casino Biloxi, Grand Casino Gulfport, the Mid-South Service Center, Harrah’s New Orleans or Harrah’s Lake
       Charles when Hurricane Katrina or Rita closed your property.
  •    You were a non-management employee (below grade M18 at Harrah’s or below grade S17 at Grand or the Mid-South Service Center).
  •    You have not received financial assistance from the company to relocate due to the hurricane. However, if you received funds to relocate to
       Lake Charles because of Hurricane Katrina, and were displaced a second time due to Hurricane Rita, you can apply if you did not receive
       relocation assistance for the second hurricane.
  •    You have not previously received a Recovery Fund grant.

HOW TO APPLY:
  1. PLEASE PRINT! Complete BOTH pages and SIGN the form.
  2. FAX the form to 1-901-537-3493 OR MAIL the form to: Harrah’s Entertainment, Inc., Attn: HERF-Disaster Assistance, 1023 Cherry Road,
  Memphis, TN 38117.
APPLICATIONS MUST BE FAXED OR POSTMARKED BY APRIL 17, 2006. TO ENSURE CHECKS ARE DISTRIBUTED AS SOON
AS POSSIBLE, NO LATE APPLICATIONS WILL BE CONSIDERED. WE SUGGEST YOU KEEP PROOF OF DELIVERY, SUCH AS
THE FAX “TRANSMITTAL COMPLETED” PAGE OR USE A POST OFFICE CONFIRMATION SERVICE (RETURN RECEIPT, ETC.).
Call 1-888-214-3278 if you have questions about the application process. A postcard will be sent verifying that your application
was received. If you do not receive a postcard by May 1, call 1-888-214-3278, Monday through Friday, 9am to 4pm Central time.
Please have your proof of delivery handy.
1. EMPLOYEE INFORMATION
NAME (LAST, FIRST, MIDDLE INITIAL)                                                                                       DATE OF HIRE            SALARY GRADE


SOCIAL SECURITY NUMBER                 CURRENT PHONE NUMBER                    OTHER PHONE NUMBER                        EMAIL ADDDRESS


HOME PROPERTY                                                                                           MARITAL STATUS
   Grand Casino Biloxi               Grand Casino Gulfport          Mid-South Service Center               Single, Head of Household
   Harrah’s New Orleans              Harrah’s Lake Charles                                                 Married or Significant Other or Partner

2. SPOUSE & CHILDREN
NAME                                 RELATIONSHIP            AGE               NAME                                    RELATIONSHIP                  AGE


NAME                                 RELATIONSHIP            AGE               NAME                                    RELATIONSHIP                  AGE



3. EMPLOYMENT
Are you currently employed (other than your home property)?               No          Yes     If yes:
WHERE                                               START DATE            POSITION                                                    PAY RATE


Is your spouse or significant other or partner currently employed?        No          Yes     If yes:
WHERE                                               START DATE            POSITION                                                    PAY RATE


4. HOUSING: PLEASE USE THE ADDRESS WHERE YOU WANT AN APPROVED GRANT CHECK TO BE MAILED
CURRENT STREET ADDRESS                                                    CITY                                            STATE       ZIP


                                                                                                                          CURRENT MONTHLY PAYMENT
   Subsidized housing          Own       Rent/Lease              Hotel/Motel      Friends/Relatives          Shelter

Are you living in the SAME residence you had at the time of Hurricane Katrina or Hurricane Rita?      No      Yes
If YES, skip sections 4A & 4B, and GO TO Section 5. If NO, GO TO Section 4A (for Katrina) or 4B (for Rita). Complete both 4A & 4B, if applicable.
4A. HOUSING: WHERE YOU LIVED DURING HURRICANE KATRINA (Complete only if affected by HURRICANE KATRINA)
STREET ADDRESS                                                            CITY                                            STATE       ZIP


                                                                                                                          CURRENT MONTHLY PAYMENT (IF ANY)
   House / Townhome / Mobile Home               Apartment / Condo              Own          Rent / Lease

Is your home repairable?    No          Yes     Is your home livable?    No           Yes                  Renters insurance?               No       Yes
If yes:   Substantial damage           Moderate damage         Minor damage            No damage           Flood insurance?                 No       Yes

4B. HOUSING: WHERE YOU LIVED DURING HURRICANE RITA (Complete only if affected by HURRICANE RITA)
STREET ADDRESS                                                            CITY                                            STATE       ZIP


                                                                                                                          CURRENT MONTHLY PAYMENT (IF ANY)
   House / Townhome / Mobile Home               Apartment / Condo              Own          Rent / Lease

Is your home repairable?    No         Yes     Is your home livable?   No             Yes                  Renters insurance?               No       Yes
If yes:   Substantial damage           Moderate damage        Minor damage              No damage          Flood insurance?                 No       Yes

                                                      — COMPLETE BOTH SIDES —
   THE HARRAH’S FOUNDATION: HARRAH’S EMPLOYEE RECOVERY FUND APPLICATION (PAGE 2 OF 2)
5. INSURANCE INFORMATION (Complete this section if you had homeowner or renters insurance)
INSURANCE COMPANY (RENTERS OR HOMEOWNER)                                                                             PHONE NUMBER




STREET ADDRESS                                                            CITY                                       STATE     ZIP



DEDUCTIBLES                                                               ITEMS NOT COVERED




SUSPENDED MORTGAGE/RENT PAYMENTS                                          AMOUNT OF CASH ADVANCE RECEIVED FROM YOUR INSURANCE COMPANY FOR
                                                                          DISASTER RECOVERY
   No         Yes    If yes, for how long?

6. SOURCES OF INCOME/ASSISTANCE
PERSONAL SAVINGS AMOUNT                           401(k) SAVINGS AMOUNT                              OTHER SAVINGS AMOUNT




Please check the types of external assistance you have received and describe the goods, services, cash or loans (list amount)
                                         AMOUNT (IF CASH OR LOAN)                                                     AMOUNT (IF CASH OR LOAN)
   FEMA                                                                             Food Stamps

                                         AMOUNT (IF CASH OR LOAN)                                                     AMOUNT (IF CASH OR LOAN)
   American Red Cross                                                               Salvation Army

                                         AMOUNT (IF CASH OR LOAN)                                                     AMOUNT (IF CASH OR LOAN)
   Disaster Unemployment                                                            State Unemployment

                                         AMOUNT                                                                       AMOUNT
   Alimony                                                                          Child Support

                 DESCRIBE ASSISTANCE RECEIVED
   Other


7. MOST CRITICAL NEEDS
   Food             Clothing          Gas            Medical Assistance            Shelter          Other (be as specific as possible):




Describe where / how you will use funds if they are provided to you




8. EMPLOYEE AUTHORIZATION AND SIGNATURE
I agree that all information listed herein is accurate to the best of my knowledge. I understand that omissions or false information may result in
denial of funds and/or separation of employment.
EMPLOYEE SIGNATURE                                                                                               DATE




OFFICE USE ONLY
INTAKE REPRESENTATIVE                                                                                            DATE




                        This application is being made to the Harrah’s Foundation for the Harrah’s Employee Recovery Fund.



                                                                                                                                                 2006