Catholic Community Services Emergency Relief Fund Request

To provide support for individuals and families impacted by emergencies and natural disasters, Catholic Community Services of Western Washington have established a streamlined process for requesting financial assistance from the CCSWW Emergency Relief Fund.

Eligible Funding Uses
This fund was designed to provide short-term, emergency financial assistance for needs such as:

Grocery support
Transportation support
Emergency supply distribution
Damage and cleanup support

Please submit your request below for review. Thank you!

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Please list the address that has been directly impacted by the floods.

Street Address Address Line 2 City State ZIP Code

Description of Need(Required)

Please choose all that apply.

Groceries Support

Transportation Support

Emergency Supplies Support

Damage and Cleanup Support

Date Impact Occurred(Required)

Describe the damage, need or impact.(Required)

How will the funding support you and/or your family?(Required)

Total Amount Requested

Please understand that funds are limited, and CCS will make every effort to assist as many individuals as possible.

Please list cost estimates if available

Please share any additional context or urgency we should be aware of:

Catholic Community Services Emergency Relief Fund Request

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