Request for Flood Response Volunteers / Solicitud de Voluntarios para ayuda con las Inundaciones 
Please fill out this form if you'd like volunteers to come help you with clean-up after the flood or any other support. / Complete este formulario si desea que los voluntarios le ayuden con la limpieza despuès de la inundaciòn o si necesita otro tipo de apoyo. 
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Contact Person's Name / Nombre de la Persona de Contacto. 
Contact Person Phone Number / Numero Telefònico de la Persona de Contacto. 
Contact person email / Correo Electrònico de la Persona de Contacto.  
Name of your business or organization / Nombre de tu Negocio ò organización.
Address for volunteers to report to / Direcciòn donde los voluntarios se van a reportar. 
What do you need help with (select all that apply)/ ¿Què ayuda necesita? (seleccionè todo lo que aplique). 
What day and times do you need volunteers? / ¿Qué día y hora necesita ayuda de los voluntarios? 
10am -1pm
1pm -4pm
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Do you want volunteers to bring supplies (such as shovels)? If yes, please list what you need. / ¿Quisiera que los voluntarios traigan herramientas (como palas)? Si respondio SI, por favor liste lo que necesita.
Do you have flood insurance? /¿Tiene seguro contra inundaciones?

IMPORTANT: **If you have insurance take pictures of everything before you start cleaning up. Also, keep all receipts for supplies, cleanup, repairs, as well as food, and lodging, etc.**

IMPORTANTE: **Si tienes seguro toma fotos de todo antes de empezar a limpiar. Además, guarde todos los recibos de suministros, limpieza, reparaciones, así como alimentos, alojamiento, etc.**
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We are partnering with different organizations to provide resources to your community. Please choose any services you may need:

Nos asociamos con diferentes organizaciones para proporcionar recursos a su comunidad. Elija los servicios que pueda necesitar:
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A member of our team will contact you shortly to go over your answers and discuss next steps. Thank you for your time.
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