Formulario de Registro

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If you have inconsistent internet access or for whatever reason are unable to input to this form directly, a downloadable version is available here: fD Formulario de Registro

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Formulario de Registro

    • INFORMACIÓN DEL SOLICITANTE

    • INFORMACIÓN DEL CASO

  • Please be sure to click "Submit" and wait until your browser finishes before going to another page. You may wish to print this page, or copy and paste your answers into an email to us, to ensure your submission is saved, in case it doesn't go through. Please contact us at distress@freedimensional.org if you need any help getting this form submitted to us. Thank you! ATENCIÓN: Todos los casos son revisados cuidadosamente por personal de freeDimensional y voluntarios de los Servicios de Emergencia. Debido al elevado volumen de solicitudes y a los diferentes grados de urgencia, las respuestas demoran un promedio de tres días a una semana.
 

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