Secure and Private Disaster Survivors Request Portal
Currently all donations are personal care items for survivors from the Camp Fire in California and people who are experiencing heavy snowstorms in North Carolina and South Carolina.

You have full control of your information. You stay anonymous to donors. Your data is securely stored.

Fill out the form and indicate the dollar amount of Amazon Gift Card you would like to receive.

Receive email notifications when someone accepts your help request.

Secure and Private Survivor Request Form
You must enter true information with a valid ID to show that you indeed live in the disaster zone. Your privacy is guaranteed. Your data is securely stored.
Which disaster zone are you in?
Request amount of Amazon Gift Card. Bigger amount may take longer to fulfill.
Mailing address:
Upload an image of the front of your driver's license* to show that you live in the disaster zone
By clicking SUBMIT, you agree to let BitClave show your mailing address to donor(s) who accepted your request. Your name will not be revealed.