Assistance Request

Language: English

Please fill this form out if you need assistance. It will be shared with a network of civilian responders.

HELP IS NOT GUARANTEED, ALWAYS CALL 911 FIRST IN AN EMERGENCY. By using this form, you agree to hold CrowdSource Rescue and its users harmless.

NOTE: Some information will be viewable to the public such as general location. Please enter personal information with caution.

Is this a water rescue?

Is this a wellness check?

Can you describe the state of the person? Where were they last seen? Please note any information will be publicly viewable.

Are you filling this out on behalf of somebody?

First Name (Primary Person Needing Help)

Last Name (Primary Person Needing Help)

What is the primary phone number? (i.e. the person needing help)

Add Another Phone Number

Where did you see this case? Please try to reach out to the person directly first, if not possible then provide original links or your contact information.

Zello, Facebook, Twitter? What where the handles? What is the original link?

How do you know this person?

What is YOUR phone number?

Where is help needed? Enter an address or place a point on the map. Please double check!

Confirm Street Address

Unit or Apartment Number (if known)

Zip Code

Number of Adults

How many adults are there?

Number of Children

How many children are there?

Number of Elderly

How many adults >65 are there?

Number of Pets

How many pets are there?

Any other notes? The more info the better.

Do you understand that this is a volunteer service and that you waive all liability by using it? Do you also agree to our Terms of Service?

Do you understand that help is not guaranteed? If this is an emergency, call 911.

CrowdSource Rescue is a 100% volunteer, non-profit organization. We have helped rescue over 50,000 people by connecting them to vetted civilian responders. This website is not a replacement for 911 and nothing here can be construed as a guarantee of safety.

Save me Lord for the floodwaters are up to my neck. - Psalm 69:1

CrowdSource Rescue is not a replacement for 911 and nothing on this website can be construed as a guarantee of safety.

Terms

Assistance Request

Request Submitted !