Storm Check-In | Liberty Temple Chicago

For a life-threatening emergency, call 911 now.

This form is for Liberty Temple care-team follow-up and is not monitored as an emergency dispatch service. For urgent church assistance, call 773-273-8550.

How is your household?

Choose the answer that best describes your situation right now.

Current household status Everyone in my household is OKI am checking in so the Apostles know we are safe. Please have someone contact meI would like prayer, pastoral care, or help understanding available support. I need to report damage or an urgent needI have storm damage, an outage, or another immediate concern to share.

Your contact information

Tell us the best way for the Liberty Temple care team to reach you.

Full name

Phone number

Email (optional)

Address or neighborhood (optional)

This helps us understand where storm needs are concentrated.

Best way to contact you

People in your household (optional)

What should we know?

Select any needs that apply and share the details that will help us follow up.

Current needs (select any that apply)

Safety or wellness check Power or utilities Food or water Temporary shelter Transportation Medication or medical support Cleanup or property damage Prayer or pastoral care Other

Details (optional if everyone is OK)

Emergency contact

You may add someone we can contact if we are unable to reach you.

Would you like to add an emergency contact? Yes, add my emergency contact Not right now

Your information will be kept private and used only for emergency communication, care coordination, and follow-up by Liberty Temple Chicago.

Your check-in was received

Thank you for letting the Apostles and Liberty Temple care team know how you are doing. If you requested contact or reported a need, someone will follow up as soon as possible.

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