Flood Support Request Form 

If you are looking for support but have not been affected by the floods, please have your caseworker, midwife or social worker contact us in relation to your support needs.

‚ÄčIf you are not connected with a service agency, you can contact Family and Child Connect on 13 32 64 for referral information or talk to your midwife.

Please do not click the submit button below.
Your details
Baby Give Back is committed to providing long term support for families.  You are able to submit more than one request, so please consider what you need and have space for now.  As your children reach different milestones, or you move into more permanent accommodation you are able to request additional items.

Family Information

What other items would you like to request?

This is a box designed as a starter kit for mum and newborn containing nappies, toiletries for bub and mum, breast and maternity pads.

We are doing our best to respond to the flood disaster with immediate essentials for families. We will be in touch with you as soon as possible to coordinate the support we can provide in your area.

Stay safe. We are thinking of you.
By submitting this form you agree to our Privacy Policy and consent to us providing your name to GIVIT for the purposes of securing donations of items to pass on to you.