Our office is closely monitoring the severe flooding in Northwest Georgia. Please use this form to submit a supply distribution and/or donation location for affected areas. A member of our staff will be in contact with you after completion of this form.

First Name*

Last Name*

Phone Number* () -

Email Address*

Name of Location*

Distribution and/or Donation Site Address*

Street 1 Street 2 City State Zip

Are you an emergency supply distributor?*

YesNo

Are you accepting emergency supply donations?

YesNo

List of items being distributed and/or accepted.*

Office Locations

Dalton District Office
P.O. Box 829
Dalton, GA 30722

Phone: (706) 226-5320
Washington DC Office
2201 Rayburn Building
Washington, DC 20515

Phone: (202) 225-5211

Flooding Emergency Assistance Supply Distribution and Donation Locations

Office Locations