Womenaid of Greater Portsmouth
  • | REQUEST FORM |
  • ABOUT US
    • BOARD MEMBERS
  • HOW WE WORK
    • WHAT IS A VALIDATOR?
    • CHECKLIST
    • OUT OF AREA REQUESTS
  • HOW WE HELP
    • THANK YOU NOTES
  • HOW YOU CAN HELP
    • HOST A POP UP
    • AMAZON SMILE
    • YOUR TIME
  • Supporters
  • DONATE NOW

Womenaid Request Form

Womenaid Request Form

Thank you for this request on behalf of a community member in need.  Please complete the following form to ensure that we have all the information necessary for a timely review and recommendation. 

NOTE: Requests cannot be accepted directly from the individual in need.  This form must be submitted by a community validator who will represent the person or family for this transaction.  Please click here for more details.

​We prioritize assistance to people and families in the following towns:
  • Portsmouth
  • New Castle
  • Newington
  • Rye
  • Greenland
  • Kittery

​     ( Here is a link to Womenaid groups serving other towns. )

    Validator Information

    *Required
    Please note: Requests cannot be accepted directly from the individual in need. Requests for assistance have to be made by a community validator who acts on behalf of the person or family in need.
    Validator Email is Required.

    Client/Person in Need Information

    In-Area support includes: Portsmouth, Greenland, Newington, New Castle, Rye and Kittery.
    ​Out-of-Area support is considered on a case-by-case basis. 
    (Please
    click here for links to other Womenaid groups)

    The Resources Contacted for Assistance

    Please list all other resources and avenues of assistance that have been contacted related to this request. ​​Such as: SHARE, Welfare, Community Action Partnership. 
    If this request is related to car repairs, please attach the work estimate here, and have the mechanic confirm the vehicle will be road worthy once the repairs are completed.  
    Max file size: 20MB

    Payment Details

    To ensure payments are applied correctly, it's essential that we have:
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Submit Form

Get in touch. We'd love to hear from you!


Womenaid Facebook Link
  • | REQUEST FORM |
  • ABOUT US
    • BOARD MEMBERS
  • HOW WE WORK
    • WHAT IS A VALIDATOR?
    • CHECKLIST
    • OUT OF AREA REQUESTS
  • HOW WE HELP
    • THANK YOU NOTES
  • HOW YOU CAN HELP
    • HOST A POP UP
    • AMAZON SMILE
    • YOUR TIME
  • Supporters
  • DONATE NOW