Wotton Area Mutual Aid - Coronavirus Support
*Complete this form if you require assistance. There is another form that can be accessed here if you wish to volunteer (https://buff.ly/2WBZPA7)*

IF YOU WANT SUPPORT PICKING UP A PRESCRIPTION PLEASE FILL OUT THIS FORM: https://buff.ly/2JgLIYN

IF YOU ARE FACING FINANCIAL HARDSHIP DURING THIS TIME, YOU CAN REQUEST ONE OF OUR WAMA ESSENTIAL FOOD BOXES HERE: https://bit.ly/34EV3DM

The details in your form will be passed onto our large group of local volunteers, and one will respond to you.

A volunteer will take up your request by calling you, so please make sure you check you have provided the right number. Please note:

- Volunteers will never need to come into your house.
- If you need a delivery, they will deliver to your doorstep and call you when they are doing so, so that you can pick it up immediately after they are at a safe distance.
- The financial arrangements between you (the way that you pay back the volunteer for the costs they have incurred; when you pay them back) are entirely between yourself and the volunteer as two free individuals. We suggest people set a £20 limit per assistance.

Please note, due to the emergency nature of this work, we are unable to do background checks on our volunteers. We are not healthcare professionals, so can only point you to information shared by Public Health England that can be found on 111’s website. We are also not vetting or collecting DBS checks for our volunteers. We are just co-ordinating help offered by your neighbours at this difficult time. If you would like to give feedback to us regarding the volunteer who assisted you, please email wottonareamutualaid@gmail.com, or call our central number.

PLEASE NOTE THAT VOLUNTEERS MAY RING YOU USING A WITHHELD NUMBER

Volunteers are requested to sign a data agreement and are only given access to your contact details after signing our volunteer form. In the unlikely event of a problem, please contact wottonareamutualaid@gmail.com and we will report the volunteer to the police.
First name (only) *
Your answer
Telephone number *
Your answer
Area (chose the one closest to you) *
Street name *
Your answer
Postcode *
Your answer
What do you need support with? PLEASE REQUEST PRESCRIPTIONS USING ANOTHER FORM: https://buff.ly/2JgLIYN *
Required
Data agreement
By pressing submit, you consent to your details being shared with volunteers who will contact you and ask you questions about your needs, and arrange support. Please do not provide any sensitive details on this form that you would not wish to divulge.

Our volunteers are asked to read and consent to a General Data Protection Notice. Nonetheless, whilst we do our best to support volunteers, volunteers are self-selecting

For further info, contact wottonareamutualaid@gmail.com
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