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Look to Help

Request help

Tell us who you are, where the home is, and what needs to be done. Everything here is free. If you are filling this out for a parent, neighbor, or client, answer for the person who lives in the home.

How can we reach you?

For example: weekday mornings, after 4pm, any time.

Where is the home?

We only share the address with the assigned volunteers.

What do you need done?

Help needed

Yard size, how tall the grass is, which rooms need cleaning, anything we should bring.

How soon do you need help?

Which days usually work best?

Choose all that apply.

About the person we're helping

This helps us prioritize and bring the right support.

Age range

Walker or wheelchair, hard of hearing, oxygen in use, a dog that needs to be put away, etc.

Condition of the property

Please answer honestly. We are not judging anyone — we ask because we send volunteers, some of them young, into these homes and we have to keep them safe. If a home needs professional treatment first, we will tell you and try to point you toward help.

Honest answers do not automatically disqualify a request. They change what we bring and who we send.

Are there pests or an infestation?

How would you describe the clutter inside?

Type and number, or leave blank if none.

Please check anything that applies

Mold, standing water, broken steps, aggressive animals, sharps, heavy items, recent illness in the home.