Request Assistance First Name Last Name Date Phone Email Address Type Home Mailing Unkown Work Address Line 1 Address Line 2 Gender Female Male Non-Binary Other Trans Woman Trans Man Undisclosed Marital Status Divorced Domestic Partner Married/Civil Union Separated Single/Never-Married Undisclosed Widowed Race American Indian Alaska Native Asian Black/African American Native Hawaiian or Pacific Islander Other Race Undisclosed White Household Gross Monthly Income Military Affiliation Caregiver Family Member Military Member or Veteran Military Spouse Prefer Not To Disclose Widowed Current Living Arrangement Resident (own or rent home) Traveler (do own/rent) Camper (staying somewhere with no utilities/services) Disabling Condition Yes No N/A Employment Status Full-time Self-employed In School Unemployed Retired Disabled Income Level For The Last 30 Days Parental Status Single Custodian Parent of Dependent Children Parent of Non-Dependent Children Parent in 2 Parent Family with Dependent Parent Not a Parent Non-Custodial Parent of Dependent Children What Services Are You Seeking Education Employment Food Assistance Housing & Shelter Income & Support Individual & Family Support Physical Health Please Describe Your Request Services Please sign in the box below to provide your consent to receive services Send Contact 821 Water St.Elko, NV, 89801775-738-3038[email protected] Pages Home About Us Contact Us Resource Hub Donate Job Openings About Us F.I.S.H. stands for “Friends In Service Helping.” The Elko F.I.S.H. began serving families in need since October 1987. Social Pages FISH Thrift Store FISH Services/Food Bank