Catholic Charities Gift Submission

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Thank you for your gift!

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Catholic Charities is a 501(c3) organization, Tax ID#: 84-0686679.

Donor Information

Donor*

Organization Information

Contact Name

Additional Information

Address*
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Gift Information

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Name:*
Address that was impacted:*
Current address:*
Was your home totally or partially destroyed?
Did you own or rent your home?
Was your property insured?
Are you experiencing job loss or reduced hours?
Preferred method of contact:
Do you belong to a Catholic parish?
Have you started working with FEMA and/or other government agencies?
Type of dwelling:
Origin
Thank you for your information. We will be in touch shortly.

Volunteer Data

Name
Over the last 2 weeks, how often have you been bothered by the following problems?
Little interest or pleasure in doing things
Feeling down, depressed or hopeless
Hidden
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