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Please complete the form below with as much detail as possible. Providing complete and accurate information will help us review your request and determine the best course of action. A representative will contact you if additional information is needed.
 

Please note: Submission of this form does not guarantee representation or legal assistance. All requests are reviewed individually based on the information provided.

Assistance Request Form

Thank you for contacting the Daytona Beach/Volusia County NAACP Branch #5141. We are committed to serving our community by listening to concerns and helping connect residents with available resources and advocacy when appropriate.

Preferred method of contact
Phone call
Email
Text
Are you a member of the Daytona Beach/Volusia County NAACP Branch #5141?
Yes
No
What type of assistance are you requesting?
Has this issue been reported to another agency or organization?
Yes
No
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