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I Need Help!
Let us know how your OC family can help you.
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* Indicates required question
First and Last Name
*
Your answer
Phone Number
*
Your answer
Secondary Contact
Your answer
Email Address
*
Your answer
Age
*
Your answer
I am:
*
sick/quarantined at home
a parent with a sick child
at risk (older adult, underlying health concerns)
college student
a friend of someone with needs
without power
Other:
Required
I need help with:
*
groceries/errands
temporary child care
temporary storage
temporary housing
temporary work
prayer
finding someone to talk to
financial assistance
a place to recharge/work/shower/etc. while my power is out
Other:
Required
Further details:
Your answer
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