May 15th Severe Storms: Unmet Needs

Fill out this form if you have unmet needs resulting from May 15th Severe Storms. By filling out this form, you give New York Voluntary Organizations Active in Disaster permission to share your information with our members and partners. Filling out this form does not guarantee services, as it is completely dependent on the capabilities of our voluntary members. Please email estoessel@nydis.org and ncroce@nydis.org with any questions.
Name *
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Street Number and Name *
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Village/Town/City *
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County
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Is the property damage directly related to the May 15th storms? *
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Phone number *
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Email
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What are your specific needs? (Check all that apply) *
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