This form has been prepared should our members need assistance after the storm. We will collect the requests and make contacts to determine how we can help. If you do experience damage or need assistance, please be patient and understand that we may not be able to get to everyone quickly. However, we will do our best to contact you as soon as possible to assess your situation and respond appropriately.
First & Last Name
Alternate Phone #
Did you evacuate or are at your home?
I am not home
I am home
What kind of damage do you have?
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