Project Recapture Application Form
Request form for assistance from Project Recapture - a volunteer collaborative group by the AIPP, The Heart Project and Mark Rossetto coaching for families and individuals impacted directly by the 2019/2020 Australian Bushfire Catastrophe
Email address *
First Name *
Last Name *
Phone Number *
Street No. / Street *
Suburb/Town *
State *
How have you been affected by the fires? *
What help would you like to request from Project Recapture? *
Photo restoration of fire-damaged prints
If you are submitting fire damaged images for restoration please fill out this question and follow the upload directions below this form.
Clear selection
If you are a firefighter or volunteer can you note down your local RFF
Please share your story with us *
Please provide detail so we can help connect you with the right volunteer
Please provide us with any other information that you think may be helpful
A copy of your responses will be emailed to the address you provided.
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