Kiosk Mode
the 211 Helpline

Hello and Welcome!

Hello and Welcome!
Welcome to Nashville VOAD's survivor information and intake form.
If you were impacted by the tornado on 12/9/2023 and need assistance, please fill out this form to let us know what you need.
Someone will be in touch within 4 business days and our partners will work behind the scenes to get assistance to you as soon as possible.

Let's get started with
a simple verification step.

This security measure ensures that
your information will be submitted correctly
and prevents unauthorized entries.

Additional Language Support



Questions? Contact the 211 Helpline for support.