Comfort & Safety Submission Form

Comfort & Safety

We would love to hear from you! Please fill out this form and we will get in touch with you shortly.
  • Although we are not officially running our Comfort & Safety promotion in 2015, we are always interested in finding ways to help those in need!

    If you'd like to submit a suggestion of someone that may need help, please fill out the below form, keeping mind the following:

    • - All nominations must be made online and must be submitted by a third party.
    • - Nominees must be in market area (30 miles around Richmond).
    • - Rental Properties do not qualify.
    • - We are unable to service campers, trailers, or portable systems (window units, etc.)
    • - Our goal is to help with small to medium plumbing, heating, or electrical problems only. Major renovations or repairs are not possible.
    • - Fuel and electricity: We are not able to pay power or fuel bills. Comfort & Safety is for small repairs to get people going; it is not a fuel assistance program.
    • - We will review all submissions and consider helping those that we feel would be a good fit.

Your Information

  • Your Friend's Information

  • Tell us their story

    Please be as specific as possible on why nominee is in need and as detailed as possible on what needs to be repaired.

    If possible, please attach a picture of the home and the problem area.

  • Accepted file types: jpg, png, pdf, gif, Max. file size: 50 MB.