Request for Snow Shoveling Assistance

If you are at least 60 years old or have a physical disability, and do not have resources (financial or

family/friends nearby) to assist with snow removal, you are eligible to participate in the Be a

Neighbor Help a Neighbor Program.

Fill out the form below

FIRST NAME:

LAST NAME

ADDRESS

CITY/STATE/ZIP

EMAIL:

PHONE:

I would like a volunteer to help me with shoveling my sidewalk

Yes

I would like a volunteer to help with shoveling my walkway up to my front door

Yes

Do you have a shovel available for use by a volunteer?

Yes

Do you have salt available for use by a volunteer?

Yes

If you answered "yes" to either of the questions regarding a shovel or salt, please let us know where they would be located. We recommend you leave your shovel and salt outside where a volunteer can easily find it and you won't need to be home when they come to remove the snow and ice.

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Request for Snow Shoveling Assistance

Fill out the form below