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CVO HELPS

If you would like the CVO to evaluate your home and situation to determine if the CVO can help, please complete the form below. The details of the form below. The details of your situation will be kept confidential.

Name (full):

Address:

Subdivision:

Contact Number:

Explanation of hardship/justification of need:

Assistance requested:

Home Improvement
Generation Connect (Senior social group with local youth)
Shopping
Hurricane Helpers (Pre and Post Hurricane Assistance)
Food
Clothing

If chosen, would you agree to speak to the press?

Yes No