2025 Flood Assistance Form
Please be advised by completing this form you agree that WCDR may share your information with other agencies working on the 2025 Flood response as they may be the ones assisting you.

By registering for assistance you also agree to be bound by the Legal Agreement of this WAIVER (linked here) - even if you have not read the agreement. We suggest you review it, as it holds WCDR and all volunteer not liable for damages sustained by our attempts to assist. There are professional companies that can help with your flood risk mitigation if you are concerned that volunteer may not be able to do an adequate job of protection.

Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Street Number and Street Name *
Postal Code
Phone Number (incase we need to call to make arrangements) *
Do you need: *
Required
Do you have an extenuating circumstances that we should be aware of to help us prioritize deployment of sandbags and volunteers? ie, limited mobility, limited availability of friends and family, etc.
*
We will need to share your contact information with some of our community partners to ensure we can best support you. At minimum we will need to share your address for delivery and assistance. Please check below if you consent for us to share your name, phone number and risk factors. 
Partners include but are not limited to:
- City of Ottawa
- Team Rubicon
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of West Carleton Disaster Relief.

Does this form look suspicious? Report