Forks area, COVID-19: "Request Support" Form

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Please use this form if you need food, supplies, or other help at this time. We will give priority to people who do not have any or few other sources of help.

We are an all-volunteer community group organizing in the area of Forks. Thank you for your patience and grace.

Form in Spanish: https://forms.gle/ysHttySqQEy3cyxC6

** To Donate **

https://www.gofundme.com/f/relief-fund-for-immigrant-workers-in-forks-wa

** Questions, updates or want to get involved? **

Facebook: https://www.facebook.com/ComiteDeDerechosHumanosDeForks
E-mail: derechoshumanosforks@gmail.com
Volunteer with us: https://forms.gle/X68qnUgCNXPLdmJx8

Let’s take care of each other. By us for us.

Name (does not have to be your full name) *

What is your phone number? *

Please include your area code

Can you receive texts at that number?

Yes

Clear selection

What is your email address?

Leave this field blank if you do not have an email.

How do you prefer that we contact you? *

Mark all that apply

Phone call

Text

Required

How many people are in your household?

Delivery address

Do you need food? *

Yes

Would you like to receive seeds or seedlings if available?

Yes

Clear selection

Do you have any other needs or requests?

What is your most urgent need?

Are you or other people working in your household?

Yes

Just a little

Clear selection

Do you receive food stamps?

Yes

Clear selection

Do you receive cash benefits?

Yes

Clear selection

Have you received any other help?

Yes

Clear selection

If you have received help, please list what help below.

We will try to let you know if we can meet your request within 48 hours. We're so glad you've reached out to us for support.

Drawing from the brilliance, love and creativity we have for each other and with the intention of working in solidarity, our purpose is to cultivate mutual support.

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This form was created inside of Covid-19 Mutual Aid Network - Seattle. Report Abuse

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