Are you in need of disaster relief and live in Selma?
Name*
*
First Name
Last Name
Family Size
*
Address
*
Street Address
Street Address Line 2
City
State/Province
Postal/ Zip Code
Phone Number
*
Format: (000) 000-0000.
What kind of help do you need?
Please share your needs with us.
Food and Personal Items
Set Up (Care Package)
Hot Meals
Nonperishable Food
Household Cleaning Supplies (i.e., detergent, disinfectant)
Household Goods (i.e., cookware, utensils)
Blankets/Coats
Toiletry Items
Adult Clothes
Children Clothes
Furniture
Portable Heaters/Generators
Medical Equipment
Transportation
Housing
Building Repair/Construction
Temporary Housing
Permanent Housing
Labor/Building Materials
Building Materials
Debris Removal
Building and Construction
Specialized Trades (i.e., plumbing, electrical, roofing)
Equipment (i.e., chain saw, forklift, boom/dump trucks, excavators, bobcat, etc.)
Thank You!
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