For individuals & families

Request assistance.

Tell us what you need and how to reach you. Our team will review your request and determine whether Be Kind Birmingham or one of our partners may be able to help.

Before you begin: Assistance depends on available inventory, program eligibility, funding restrictions, location, and staff capacity. Some services require an active case manager or partner referral. Submitting a request does not guarantee assistance.

Your contact information

Full name

Phone number

Email address

City or ZIP code

Household size

Preferred contact method

Assistance requested

Primary need

Transportation or accessibility needs

Tell us what is needed

I confirm that Be Kind Birmingham may contact me to review this request. I understand that submitting a request does not guarantee assistance.

Do not include Social Security numbers, financial account information, medical records or detailed trauma histories. This form is not monitored for emergencies.

This secure action opens your email app and addresses the message to bekindbhm@gmail.com with the correct subject. You must press Send in your email app.