Emergency Relief and Food Access Service Online Enquiry Form Please complete the form below Your Name (required) Your Email (required) Your Phone (required) Your Suburb (required) What do you need immediate assistance with (please select up to two options): Food hamperPower/Gas/Water where you have received a disconnection/restriction noticeCar registration/Drivers licence renewalInternet/phone where you have received a disconnection letterFuelPrescriptionsClothingEssential furnitureRent arrears * We will contact you by the next business day.