Request form special campaigns
Thanks for visiting Eureka Mums!
To access our services all caseworkers, social workers and maternal and child health nurses must be registered with Eureka Mums. If you are not yet registered, please register here prior to completing this form.
This form is to be used for special campaigns where you ask for certain items for multiple families, like "back to school", "one mother to another", etc.
For normal orders with one form for each family and the regular scope of items, please use this form.
For further assistance or for emergency requests, please contact the Social Services Coordinator via email
We look forward to receiving your request soon - thank you for your support of families in need.