Lewis Countians Needing Assistance - Flood Relief
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Please use this form for requesting assistance from a volunteer for flood relief in the coming days or weeks. 
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Name
Phone Number (mobile preferred)
Address (street address & specific directions if it hard to find)
My household includes (check all that apply) 
My household includes these age groups (check all that apply) 
I need help with... (be as specific as possible) 
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