Andy's Outreach Fund Disaster Relief Application

Short-term Assistance Instructions

Andy's Outreach Fund is a charitable fund established to allow employees to contribute to their co-workers who have been directly impacted by severe hardship, crisis or catastrophic need due to circumstances beyond their control. The awarding of individual grants must follow IRS guidelines.

Andy's Outreach Fund can provide short-term assistance for basic living expenses due to a natural disaster that has been officially declared by the President (such as Hurricane Katrina and the recent flooding in the mid-west).

The types of short-term expenses that can be reimbursed are:

• Temporary lodging
• Food
• Clothing
• Housing repair
• Auto repair (if another vehicle is not available)
• Transportation
• Medical Assistance

To qualify under the IRS guidelines, the expenses you list should not be reimbursable by a third party (such as an insurance company). This will not apply in many cases since most insurance policies have deductibles that exceed the maximum amount of Andy's grants for short-term assistance.

Should you need additional assistance that is more in the nature of long-term assistance, you can submit the Andy's Outreach Financial Hardship Application. The Financial Hardship Application requires more detailed information and documentation of your losses.

If you have any additional questions, please contact Stephanie Lally at 502-515-7295 or email your questions to andys.outreach@texasroadhouse.com.

The application should be submitted to the Support Center via FAX (502) 426-6416.