Elderly woman and man outside

Request Form

Request Assistance From Chesapeake SHARING

If you are requesting a COVID-19 Grant, please complete the COVID-19 Grant Form.

If you are inquiring about being a sponsor, please visit the Become a Sponsor page and fill out the required form. If you wish to make a donation, Donate Now, or download our mail-in donation form below. Online donations coming soon. Thank you!

Download Our Mail-In Donation Form

Contact & Assistance Request Form

Need help keeping your home warm and cozy this winter season? Please complete the form below to request assistance with your heating costs or to contact us with other questions or feedback.

  • This field is for validation purposes and should be left unchanged.