Request for Assistance

Request for Assistance

Use to gather basic information on homelewss or needy persons who need assistance Form Preview
  • WASILLA HOMELESS-COMMITTEE

    Please complete this form so we can best determine how we can help you. Once you have submitted the form, a Wasilla Homeless-Committee Case Manager will contact you on the date & time you've selected. (During our business hours Monday - Friday 8am - 6pm) WE ARE NOT ABLE TO HANDLE EMERGENCY SHELTERING REQUESTS




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  • IF YOU DO NOT SEE A GREEN CHECKMARK AFTER CLICKING THE SUBMIT BUTTON, PLEASE RECHECK YOUR FORM FOR ERRORS.  THE FORM WILL NOT BE TRANSMITTED UNLESS ALL REQUIRED AREAS ARE COMPELTE.

     

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