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Tents for Homeless Requests
Please fill out this form to request a tent and we will respond as quickly as possible about pickup information. We cannot provide tents or items to anyone who cannot pick up their items in Los Angeles.
Responses from our team may 2-3 business days.
* Indicates required question
Email
*
Your email
Date
*
MM
/
DD
/
YYYY
Your name
*
Your answer
Phone number (optional)
Your answer
How many tents are you requesting?
*
0
1
2
Other:
How many sleeping bags are you requesting?
*
0
1
2
Other:
Are there other items are you requesting? (Some items may not be available)
Mat
Pot/ pan
Portable toilet
Stove
Water bottle
Flashlight
Plate
Other:
How long have you or the person you wish to obtain a tent or sleeping bag been unhoused?
*
Less than one month
Less than six months
Less than one year
One year
Two years
More than two years
N/A
What city do you or the person you wish to provide a tent or sleeping bag to live in?
*
Los Angeles
Other:
Please select any factors that impacted your housing status or the housing status of the person who will receive this tent (optional)
Cannot afford rent
Recently released from incarceration
Unemployed
Illness, disability, or mental health challenges
Domestic violence or relationship related cause
On a waiting list for housing
Lost job
Other:
May we use you info for a booklet on the help we provide for the unhoused community in Los Angeles?
*
Yes you may use my info anonymously with a photo of me.
Yes, you may use my info anonymously without a photo of me.
No, you may not use my info anonymously.
How important is this service to you? (Optional)
Not Important
1
2
3
4
5
Very Important
Clear selection
What do you suggest Los Angeles do to end homelessness? (Optional)
Your answer
What Item is most important to you? (Optional)
Mat
Pot/ pan
Portable toilet
Stove
Water bottle
Flashlight
Plate
Tents
Sleeping bag
Other:
Clear selection
Send me a copy of my responses.
Submit
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