Flood Victim Assistance Application Form

Dear Sir/Madam,

Thank you very much for your willingness to provide help for the flood victims!

Before submitting your assistance, please read the instructions on how to package and label pallets and other cargo.

We inform you that all in-kind donations that donors want to transfer through RARS for the flood victims are verified according to current needs.

Instructions for preparing goods for donation

Instructions on how to prepare goods for donation.

Pallets should have standard dimensions of 1200 x 800 mm and should not be taller than 1800 mm.

Each pallet should be labeled with the product category (e.g., water, food, clothing and covering, or other), followed by a complete inventory of the items on that pallet. All information should be legible and placed in accessible locations.

If the items cannot be palletized (oversized or bulky items), please provide the weight and dimensions. The items should be packed in such a way that loading and unloading can be done safely, without requiring extensive equipment, personnel, or time.

Please note that the shortest expiration date for donated items is 3 months. Additionally, RARS does not handle in-kind donations of food that require a cold chain.

If you have any questions regarding the in-kind donation form, please contact us at: powodz.pomoc@rars.gov.pl

* Fields marked with an asterisk are required.

Type of organization:* Organization name:* Name of the responsible person from the donor's side:* Tax ID:*

Street:*

House number:*

Apartment number:

Postal code:*

City:*

Country:*

Email:* Confirm email:*

Phone prefix:*

Phone number:*

Is the donation made under the “Union Civil Protection Mechanism?”

Information clause.

I have read the information clause

I declare that I have read the information clause.*

Preferred Recipient

This tab is for selecting your Preferred Recipient. Please note that all goods you plan to donate for flood victims through RARS will be first verified according to current needs. Therefore, your assistance may be directed to a recipient other than your preferred one, and the scope of your help may change. You will be informed electronically at the donor's email address. If you agree to this, continue filling out the form. If you do not agree, click "Cancel".

If you do not have a Preferred Recipient, check the box below
I donate without specifying a preferred recipient

Name:

Responsible person's name:

Tax ID:

Street:

House number:

Apartment number:

Postal code:

City:

Email:

Confirm email:

Phone prefix:

Phone number:

Please note that all reported donations are verified according to current needs. The donation may be confirmed in whole, partially, or rejected. After RARS receives formal confirmation of the need, you will be notified electronically at the donor's email address. Donating to RARS also requires you to sign a donation agreement, which will be generated in the next step after confirmation of the donation. If you agree to this, continue filling out the form. If you do not agree, click "Cancel".

Country from which the products are being sent: Estimated delivery date to RARS:

Product category	Name	Manufacturer	Product quantity	Units per pallet	Number of pallets	Gross weight – product with pallet in kg	Estimated value in EUR	Remarks	Actions