Request Funds from JeffCo Mutual Aid
This form should be used by individuals in Jefferson County, Washington who are experiencing financial hardship from the Covid-19 crisis. That includes folks who have been laid off work or have less work due to covid-19 closures. Requests are capped at $150 at this time.

The JeffCo Mutual Aid team will not share the information gathered with this form, without your affirmative consent. Feedback is welcome, our contact info is at: www.jeffcomutualaid.com.
Name *
What's an email address we can reach you at? *
If you do not have an email address, please provide an alternative way to contact you (phone number, social account, etc.).
Funds are raised to support people in Jefferson County, Washington. What's your address in Jefferson County? *
If you are unable to provide a Jefferson County address, please describe below.
Description of Need *
What need could you use help with? What are you unable to pay for right now?
Funds Requested *
How much aid will meet your need? Requests will be capped at $150 to serve more people.
How can we transfer funds to you? *
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