Ferndale Mutual Aid- Needs Form
This form is for folks who are housebound due to COVID-19 who need support and assistance to have their basic needs met. Please tell us a little about what you need. Please allow us at least 48 hours to respond to you with some plans for assistance. If you have any questions or comments please contact
. Please also join the Facebook group at
If you fill out this form, we may share your contact information with a citizen volunteer including phone number and/or address. We will only share your information with a volunteer that is available and has agreed to help provide the aid you have requested. Volunteers will contact you directly to arrange the specific details of your aid.
What is your name?
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