FCCW Assistance Requests

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For people with an immediate need - perhaps you have to quarantine, you have a family emergency, or you’re disabled in some way.
--Fill out this google form
--A coordinator will confirm receipt of your request and attempt to match you with a volunteer
--A volunteer will contact you to complete your request

Your Full Name *

Your Address *

Your Phone Number *

Your Email Address *

What would you like help with?

Dog walking

Errands

Meal

Snow shoveling

Taking trash/recycling to the transfer station

Technology assistance

Other:

Clear selection

Below, please add more details to your request:

Dog walking: how many dogs, and what kind?
Errands: what needs to be done, and where?
Meal: please note how many people; breakfast, lunch or supper; and any dietary restrictions
Snow shoveling: if a big job, please make note
Taking trash/recycling: how many bags?
Technology assistance: what kind of device, and what needs to be done?

Please detail your request *

By what date does this need to be done? *

YYYY

Is there a specific time it needs to be done by? If not, leave blank.

Time

Please add any other information here. Thank you! *

Submit

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