Spokane Fire Relief Request

Full Name (Main Contact) *

Email address *

Describe your household, do you need women hygiene products, work boots, clothing preferences, etc

Current address where you can receive resources

Original Address in Fire Zone

Phone number *

Are you currently residing... *

RV/Camper

Hotel

Home, at friends or family

No shelter, need immediate aid

Other

Clothing Sizes for Adults

Please select at least one option.

Small

Medium

Large

XLarge

XXLarge

XXXLarge

Clothing Sizes for Kids *

Please select at least one option.

0-3 Months

3-6 Months

6-12 Months

12-24 Months

2T

3T

4T

5T

6-7 (S)

8-10 (M)

12-14 (L/XL)

Special Needs

Are you or anyone in household a Veteran? *

Please confirm that you are not a robot.