Reach Out
to OSW

Reach out to One Simple Wish

First Name*

Last Name*

Email*

Phone*

City/State*

Zip code*

Case Worker Name*

Case Worker Phone*

Case Worker Email*

Message to OSW*

I understand that by submitting this form, I am not guaranteed support. I understand that One Simple Wish will need to have a registered Community Partner agency sponsor my request.

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Reach Outto OSW

Reach out to One Simple Wish

Reach Out
to OSW