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Food Giveaways

Assistance Request Form

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Assistance Request Form

Del Aire Baptist Church only assists with short-term and emergency needs. We do not provide long-term or repeated assistance. We will not assist with bills more than 60 days in arrears, child support, medical bills, unsecured loan payments, taxes, legal expenses, or any expense that is not an objective verified need.

Name
(Very important or the request will not be submitted)
Marital Status:
Current Residence:
Government Benefits | Investments | Retirement and Pension Income | Rental and Royalty Income | Gifts and Support
Please include a brief description of your situation, and describe how the requested items will improve your situation?
If you do not answer this prompt with detail, your request will not be considered.
If you do not answer this prompt with detail, your request will not be considered.