Hurricane Helene Help Form
Name (the name you want on Social Media)
First Name
Last Name
Number in Family:
Exact Location where you are:
(Address or Intersection)
What assistance is needed?
Search and Rescue
Supplies
Food & Water
Specify what is needed
Phone Number
Please enter a valid phone number.
Other ways to Contact you:
Is your Life in Danger?
Yes
No
May we share your information on Social Media?
Yes
No
Your Donation Link
Donation Link / Payme / Paypal / Venmo
We will share all of this on our partner company's Social Media Pages.
If you see a post of someone needing help, please post the link here
ID Verification
*
Browse Files
Drag and drop files here
Choose a file
To prevent fraud, we need to verify your identity.
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of
Submit
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