Request Assistance - CCSPenrith

This page will allow you to submit an Assistance Request. Please take note of the following steps:

Step 1: Complete this form with as much detail as possible.

Step 2: Your request will be published on the website and offered to our local community. Your address, email and phone number will not be published at this point – only your postcode.

Step 3: When a volunteer responds to the request, your details will be emailed to them, along with your phone number, email, and full address.

Step 4: It is up to the volunteer to contact you directly to make arrangements to assist you.

Name *

Phone Number *

We require your phone number to be able to contact you.

Address

Your address is needed only to be able to provide volunteer support

Postcode *

Please let us know your postcode so a volunteer nearby can help.

What are you needing help with?

We will contact you before any volunteer support is offered with what they can do or can’t do. Please fill in as much detail as possible so the volunteer knows what they are helping you with.

When would you like this to happen?

Coronavirus Status

Please try to choose a status as close to your current situation so we can inform the relevant volunteer of any precautions they must take.

Are you ok with us passing your contact details on to a volunteer? *

Please note that we will pass the details on this form to a volunteer. If you are happy for us to do so, please click yes. If you do not click yes – your Assistance Request may not be published and no help will be forthcoming.

Name