Safe Families Oklahoma - Do You Know A Family In Crisis?

If you or someone you know is in need of a safe and loving family to temporarily care for your children, simply fill out the confidential Safe Family Request Form below or call our local office at 405-418-3825 and a Safe Families representative will contact you shortly.

Your First Name: *
Your Last Name: *
Address:
City: *
State: *
Zipcode:
Phone: *
Email Address:
Relation to Family In Need: *
How Many Children: *
When do you need help?: *	within 1-2 weeks within a month
Reason for Assistance: *
Comments:
Child/Children's Name(s):
Child/Children's Age(s):
Child/Children's Gender: