» Request Emergency Assistance

Our Community Assistance program strives to help as many people as possible throughout the year. If you are a resident of Kennebunk, Kennebunkport, or Arundel and would like to request assistance, please fill out the confidential form below. You will be contacted within 24 hours (during the week) or on the next business day if submitted over the weekend.

Assistance Request Form

Today's Date
MM slash DD slash YYYY
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone
How many adults are in your household?
How many children are in your household?
Is this issue time-sensitive (needs action within 48 hours)?
What are you requesting assistance with?
- Electricity Bill
- Heating Bill
- Rent
- Security Deposit
- Water Bill
- Food / Clothing
- Other
Please tell us more about your situation.
Have you requested assistance from Community Harvest in the last 12 months?
Have you requested assistance from your local Town Hall?
Where else have you requested assistance from?
Does Community Harvest have permission to contact your local General Assistance office, landlord, utility company, or case worker on your behalf?
If so, please provide the contact information for the appropriate people we should connect with. Please include contact names, phone numbers, addresses, and account numbers.
How did you hear about Community Harvest?