Cheq Bay Community Care Financial Solidarity Support
If you are in need of financial support, please fill out this form so that people can send money directly to you.  If you receive the requested money, please email us at communitycare@cheqbaycc.org so we can remove you from the list.

Please know that these requests will be made public so that community members can donate. If you prefer to remain anonymous please email us at communitycare@cheqbaycc.org so we can figure out how to support you in getting the needed funds while also keeping you anonymous.
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Name (Initials are Fine) *
Best Contact Method (optional)
In case someone needs to get in touch with you about your request. Email/phone etc.
Zip Code
What will the funds be used for? (optional)
Please give a brief description of what you are requesting the funds for (i.e., groceries, rent, prescriptions)
Minimum Amount Needed *
Maximum Amount Requested
Date Funds are Most Needed By
Provide a link to your payment account below (choose whichever one you use)
Your Venmo link or username
Sign up for an account at https://venmo.com. Not sure where to find your username? https://help.venmo.com/hc/en-us/articles/235432448-Check-or-Edit-Your-Username
For Venmo, provide the last 4 digits of your phone number
Venmo sometimes requires someone to verify the last 4 digits of your phone number in order to pay you, if they are not already connected to you on Venmo. You may optionally provide the last 4 digits of your phone number here to help get paid faster.
Your Paypal.me link or username
You can make an account at: https://www.paypal.me/. Do not provide your email address - make a paypal.me account instead.
Your Cash App link or username
You can make an account at: https://cash.app/ . Set up a $Cashtag to share https://cash.app/help/us/en-us/3123-cashtags
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清除表單
請勿利用 Google 表單送出密碼。
這份表單是在 Community Organization 中建立。 檢舉濫用情形