Covid-19 Financial Solidarity Entry Support
En español: https://docs.google.com/forms/d/1bApPTOO3ZFF_fKXj7LrymbAqL_CV7QlQEn3qN_A-zfU/edit

Hi! The sheet is newly limited to 400 open requests per day, as this makes it more likely for everyone's requests to be filled. Once you're added, we randomize the list every day to get folks facetime at the top.

If you have a request, please fill out this form and we will add you to the sheet as soon as there is space available.

PLEASE NOTE: All this information is going to be PUBLIC on the web once it gets on the sheet. This is so that there's no intermediary between requesters and offerers for money. So only include information you want public. If you'd like to make an anonymous request to a smaller list of offers (safer, but a smaller pool of possible donors) please email covidmutualaid@gmail.com
Name [Initials Fine] *
Best Contact Method [Optional]
In case someone needs to get in touch with you about your request! Example: yourname@email.com; 510-000-0000
Zip Code
Payment Info (Venmo, Paypal, Zelle, etc) - ONLY online payment platforms, we cannot accommodate cash or check requests *
Please provide your username or account information for the online payment platforms you use, so that funds can be sent directly to you. NOTE: DO NOT PUT YOUR BANK ACCOUNT INFORMATION IN THIS DOCUMENT. This system is set up for funds to be sent via digital means.
Minimum Amount Needed *
Maximum Amount Requested
Usual Income Source (50 character limit)
Date Funds are most Needed By
Relevant identities you hold
Are there any marginalized groups you are a part of that would make it additionally challenging for you during this time?
Further description (280 characters)
Social Media Links [Optional]
Submit
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