Chicago COVID-19 Financial Solidarity Request Form
Name *
Your answer
Email Address (will not be shared publicly) *
Your answer
Payment info (User ID for Venmo, PayPal, CashApp, etc.) *
Your answer
Request Amount *
Your answer
Request Description (Describe how and why coronavirus is affecting you, what you need, any other relevant information) *
Your answer
Zip Code (Optional/If Needed for your request)
Your answer
Submit
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