Greater Renton Area Support Request Form
This form was created to assist families and students in Skyway-West Hill and all of City of Renton who have been affected by COVID-19. People who are sick, disabled, quarantined without pay, elderly, undocumented, indigenous and/or people of color are strongly encouraged to fill out this form.

This information is kept confidential and will only be shared with those who are providing support.

Please allow 24-48 hours for response time. We will communicate with you to confirm resources are available to fulfill your request. As the impact of COVID-19 grows, we are currently prioritizing requests in the following order:

1) Food & gas
2) Utility shut-off notices
3) Past due rent

All requests are fulfilled on a case-by-case basis and are dependent upon funds available.

In the case that we may not be able to fully fund your request, we will connect you to resources that can provide more sustainable support.

If at any time you have questions regarding this form, please contact: cisr@cisrenton.org or 425-430-6658
First Name (or Alias) *
Your answer
Last Name (or Alias) *
Your answer
Best way to contact you? *
Your answer
Email Address
Your answer
Phone Number
Your answer
How many people are in your household?
Your answer
Does your child attend school in Renton School District? Please list school.
Your answer
Is there a person over 55 years old in the household?
Do you need support with food?
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