Create a list (Step 1 of 2)

Suffering from a recent disaster? There are people who want to help! Make a list of the top ten things that you immediately need to begin rebuilding.

Please complete the information below. We will not share any personal information with any other third parties except those who offer to donate items.

Name

This information is only shared with those who offer to donate items. Fields marked with * are required.

*First Name
*Last name

Location

Enter your address here. This information is used to search for victims of disaster by city or by map. The address information provided in this section will be displayed in the search results. Only US addresses are accepted at this time. Fields marked with * are required.

Address
*City
*State
*Zip Code

Contact Information

What is the best way to contact you? It is sometimes hard to stay connected after a disaster strikes. If you are not available by phone or email, please list someone reliable who will take messages for you. This information is only shared with those who offer to donate items. Fields marked with * are required.

It is very important to list BOTH a phone number (with areacode) and an email address which is valid, and which will be checked regularly.

Same as above?
*Contact Name
*Phone
*Email

Need an email address? GMail is a free email service provided by Google. Click here to visit their website and set up a free email address to use.