Delivery Assistance Form for Displaced Families in Altadena

Delivery Assistance Form for Displaced Families in Altadena

Assistance Disclosure: By submitting this form, you acknowledge and agree to the following: Delivery assistance is available within a 50-mile round-trip radius from our headquarters in Altadena, CA. All deliveries must be confirmed by the Project Passion team via email or phone prior to dispatch. Project Passion reserves the right to approve or deny any delivery assistance request based on eligibility, distance, safety, and resource availability.
Full Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Moving Day and Time
Impacted Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please upload one of the following for verification: An impacted address verification form, or A photo ID that shows your impacted address, or A photo ID along with a bill or document that includes impacted address.

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Please Be Ready for Pickup:

To help us serve as many families as possible, we kindly ask that all belongings are packed and ready to move before our team arrives. Our volunteers are not able to assist with packing or organizing household items. We are happy to carefully load your packed belongings, transport them to your new location, and unload them with care. If your items are not ready at the scheduled pickup time, we may need to reschedule your delivery.
Pickup Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Point of Contact at Drop-Off

First NameLast Name
Email for point of contact
example@example.com
Phone Number
Point of Contact Phone Number (if different from pickup) Format: (000) 000-0000.
Drop Off Delivery Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Will there be additional volunteers or others to help move items? If so, how many?
Are there any stairs or accessibility needs we should prepare for?
If yes, please describe:
(e.g., stairs, no elevator, narrow hallways, mobility needs, gate codes, etc.)
Please describe the type of items our team will be moving.
Indicate a detailed account of items here
File Upload

Please submit any images that will help us prepare for the move (especially large furniture).
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Should be Empty:

Please Be Ready for Pickup: