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Assistance Request

Assistance Request

Trinity Vision is dedicated to helping those families and individuals who are in need throughout the year.  If you are someone you know is in need of help, please complete the form and we will contact you regarding your situation.  Please note that we currently do not provide monetary help to individuals or families at this time, but we do provide clothing, shoes, toiletries, and non-perishable groceries.  Although Trinity Vision strives to help all individuals and families in need, we cannot guarantee that your request can be accommodated.

Trinity Vision Help Request Form

Family Name

Number of Adults in Household

Number of Children in Household

Please describe your family's current needs/situation

Please describe the resources you have already sought out

Do you need clothes?


Please tell us the types of clothes, gender for the clothes, and the sizes.

Do you need food?


Do you need toiletries?


Please indicate whether you need men or women toiletries?


Contact Name

Contact Phone Number

Contact Email Address

For other types of assistance, please refer to these agencies listed in the document.

Assistance to needy individuals.
Trinity Vision provides clothes to those in need.


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