I Need Help
Please fill this form out if you need assistance. It will be shared with a network of civilian responders. HELP IS NOT GUARANTEED, ALWAYS CALL 911 FIRST IN AN EMERGENCY. By using this form, you agree to hold the volunteers of Austin Cold and its users harmless.
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Name *
Email *
Address *
Phone number *
Is this an evacuation request? As a measure of last-resort, we may be able to help with evacuation. *
Is this a wellness check? *
Do you need food? Are you able to pick up your meal? *
Do you need water? *
If you need water, are you able to boil any water you receive? *
If you need water, do you have any containers to put water in? *
Do you have electricity? *
Have you called 911? You should always call 911 first for life-threatening emergencies. *
Are you filling this out on behalf of somebody? *
If you are filling out this on behalf of somebody else, please provide your name, number and email.
Where is help needed? Confirm Street Address *
Zip Code of location needing help (if known) *
Number of Adults *
Number of Children
Number of Elderly
Number of Pets
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What was the last known temperature on the interior?
Any notes? Please be as descriptive as possible, the more information the better.
Austin Cold and its users and partners are not able to guarantee your safety and only serves as a go-between to civilian rescuers. Do you understand we cannot guarantee you will receive help? *
Do you understand that this is a volunteer service and that you waive all liability by using it? Do you also agree to our Terms of Service? *
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