Request Service - Community Mow

Client Information

First Name *

Last Name *

Email Address *

Confirm Email Address *

Phone Number *

📱 SMS Notifications (Recommended)

Get text message updates about your service requests

Yes, I consent to receive SMS text messages from Community Mow about my service requests, volunteer assignments, and important updates. I understand that message and data rates may apply, and I can opt out at any time by replying STOP.

Privacy Notice: Your phone number will only be used for service-related notifications. Reply HELP for assistance or contact hello@communitymow.org

Your Contact Information (if different than above)

Only fill this out if someone else should be contacted about this service request

Contact Person Name

Contact Person Phone Number

Contact Person Email

Service Address

Street Address *

City *

State *

ZIP Code *

Service Details

How long do you need assistance? *

Please select the services you need assistance with.

Landscaping Services

Lawn Mowing

Leaf Cleanup

Yard Cleanup

Paver Repair

Porch/Walkway Cleanup

Storm Cleanup

Solar Pathway Lighting

Home & Safety Services

Gutter Cleaning

Fence/Gate Repair

Minor Roof Repair

Home Security Installation

Security Lights

Handrail Repair

Wheelchair Ramp Repair

Equipment Information

Do you provide your own landscaping equipment?

Yes

No

Please share more about your situation, needs, and any challenges you're facing. Providing detailed information helps us assess needs and prioritize support where it's most needed. (Required) *

Please check any that apply to help us prioritize assistance:

Senior (65+)

Military Veteran

Living with a Disability

Experiencing Financial Hardship

First Responder (police, fire, EMS, dispatcher, etc.)

Veteran

Property Photos

Upload photos to help our volunteers understand the scope of work required.

You can upload multiple photos to help us better understand your needs.

Priority Assistance

Need urgent help? Receive a citation?

Referral Information

How did you hear about us?

Please provide additional details (Optional)

Service Documentation & Community Impact

We document every service with photos so you can see the quality work being done AND so we can share these heartwarming community moments with others.

Quality Assurance: Before and after photos ensure you receive excellent service
Your Records: Receive completion photos via email as proof of service
Community Stories: Help inspire others by showcasing positive neighborhood transformations
Privacy Respected: Photos focus on yard work only, with house numbers/identifying features blurred if requested

I'm comfortable with my yard transformation being shared on Community Mow's social media and website to inspire others in our community (Optional - your service quality is the same regardless)

⚠️ Required — Please check both boxes before submitting

By completing this form, you acknowledge that our services are volunteer-supported and subject to availability. We are unable to guarantee immediate or continuous assistance. We appreciate your cooperation.

I understand and acknowledge the volunteer-based nature of these services I confirm this request reflects a real need and the information provided is accurate

Recipient Intake Form

Have you requested help from Community Mow before?