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Disaster Relief Request Form

Hurricane season has begun. Ruth & Norman Rales Jewish Family Services ("JFS") is prepared to assist you once a hurricane or tropical storm has passed.

Please fill out and submit this form if you would like JFS to call you and check in on you before and after a storm. Once it has been determined that it is safe to be on the roads, JFS may deploy volunteers to your home to check on you and/or bring you supplies if needed.

(Contact 911 in case of an immediate emergency)

Your Information

* Required information

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