WHY NOT INTERNATIONAL AID

Family Assistance Form

Submit a full family assistance request for housing, renovation, utilities, food, and related needs.

1. Submitter Information

Full name *Email *Phone *

Relationship to family *

2. Location

Country *State/Province *City *Neighborhood (optional)Address (optional)Get Exact Location

3. Partner involved

Partner involved

4. Household Information

Total people *Adults *Children *Elderly *

5. Family Members

Member #1

Name *Age *Relationship *Health notes (optional)

6. Housing Situation

Select one option *

7. Assistance Needed

Housing

New houseRebuildRoof repairStructural repairPlumbingElectricalFlooringWindows/doorsOther

Basic Needs

FoodClean waterGIKFurniture/ AppliancesClothingOther

Utilities

HeaterGeneratorSolarWater tankWell repairOther

Community

School suppliesMedical helpTransportationOther

8. The Story

9. Urgency Level

10. Photo Uploads

Optional. Upload up to 8 images.

11. Consent

I confirm the provided information is accurate.

Before You Continue

To process your request, please be ready to provide the following information:

Location details (country, state/province, city, and optional neighborhood)
Household information (total people, adults, children, elderly, etc.)
Photos of the need (if available) to support review and triage

Privacy Notice

Information provided in this form will not be sold or shared with third parties. Data is intended for internal case management and operational metrics to support family assistance response.

I have read the requirements and privacy notice.