Specific Needs

If your organization is coordinating a drive for recovery efforts, or if you are looking for a specific resource within the community that will assist in recovery efforts, we want to know about it. We will use our platform to amplify your request within our network.

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Organization name (if applicable)

Contact person *

First

Last

Phone

Email *

Location where supplies are to be collected *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Date / Time when items are needed (if applicable)

Date

Time

Category *Food suppliesPersonal Care itemsClothing and beddingMedical suppliesHousehold itemsOther request (please specify)

Food supplies

• Non-perishable food items (canned goods, dried foods)
• Baby food/formula
• Snacks (granola bars, nuts, etc.)
• Bottled water
• Other

If items Medical

Personal Care Items

• Toiletries (toothbrush, toothpaste, soap, shampoo)
• Feminine hygiene products
• Diapers and wipes
• First aid kits
• Other

Clothing and bedding

• Blankets
• Sleeping Bags
• Clothing (men, women, children)
• Shoes
• Other

Medical supplies

• Over-the-counter medications (pain relievers, cold medicine)
• Bandages and dressings
• Disinfectant (alcohol, hydrogen peroxide)
• Other

Household items

• Cleaning supplies (disinfectants, trash bags)
• Paper products (toilet paper, paper towels)
• Cooking supplies (utensils, pots/pans)
• Other

If specific items and quantities are needed, please indicate here:

If there are links to an organization’s website or to third party lists such as Amazon, those links can be posted here.

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