Request support
Start with the basic
information.
This public request helps us understand your situation and see if Project Taken Back may be able to help.
It is not a membership and it does not guarantee assistance.
How it works
From request to possible invitation.
1Request
You share some basic information about your situation using the form below.
2Human review
Our team carefully reviews each request to understand the situation and see if we may be able to help.
3Possible invitation
If your request may be a fit, you could be invited to continue the conversation with our team. Not every request will result in an invitation.
Request support
Tell us about your situation.
Share enough for us to understand what is happening and what kind of help you are seeking. You can keep your answers general. Please do not include identity documents or sensitive details about children.
Fields marked required must be completed. We also need state and county to route your request correctly; write “not sure” for the county if needed.
A few important notes.
- This form is for people seeking information and potential support from Project Taken Back.
- It does not create a membership or an automatic case with our team.
- Do not include identity documents or sensitive details about children.
- Please be honest and accurate to the best of your ability.
- We use the information to review your request and communicate about next steps. Final policies are pending approval.
- If you are in immediate danger, contact local emergency services. This form is not monitored for emergency response.
