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Request Assistance

Tell us about the unexpected hardship you’re facing. Each request is reviewed individually with care and respect.

Before you begin

NeighborsLift may be able to help with food, essential needs, urgent home repairs, family needs, or other unexpected hardship.

Assistance depends on eligibility, circumstances, and available resources. Submitting this form does not guarantee assistance.

NeighborsLift does not provide immediate emergency services. For danger or a life-threatening emergency, call 911.

Please do not submit Social Security numbers, banking information, medical records, or other sensitive documents.

Your information will only be used to review and respond to your request.

Tell us how we can help

Fields marked with * are required.

Full name *

Email *

Phone *

City / general area *

County *

Type of assistance requested *

Brief description of your situation *

Approximate amount needed

Urgency *

Have you contacted other organizations?

Preferred method of contact *

I consent to NeighborsLift collecting and using the information I provide to review and respond to my request, as described in the Privacy Policy. *

Compassionate, practical assistance for individuals and families facing unexpected hardship across Central Pennsylvania.

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