Harvey A/C Relief
We want to get to everyone we can but can't guarantee service for everyone. We are putting a priority on homes with infants, elderly, pregnant women and those who are ill as these individuals need cooling a lot more than the rest of us. To help us coordinate things please complete the form below in it's entirety, thank you.
Contact details - person in need
Full Name *
Your answer
Email (if available)
Your answer
Phone Number *
Your answer
Full Address *
Your answer
Describe why this person having cooling is an emergency which will help us assign a priority level. *
Your answer
If known, please describe the damage to the home or cooling system
Your answer
Getting to everyone is not easy. Please document the persons availability and if we have a signed authorization to enter. *
Your answer
Submitters information
Sorry if you're submitting multiple people you'll need to enter this info each time. This will help us in the event of communication issues with the person in need. Thank you.
Your Full Name *
Your answer
Your Email *
Your answer
Your Best Contact Number *
Your answer
If applicable, the organization you are with
Your answer
Submit
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