ONLINE HELP REQUEST

    IF YOU ARE IN A LIFE THREATENING SITUATION DIAL 9-1-1 NOW

    Please be aware that on average it takes up to 48 hours for one of our Information & Referral Specialists to respond to an online inquiry. If you are seeking resources or assistance for an immediate need, please DIAL 2-1-1 NOW

    If you are submitting a request on behalf of someone else, please provide the information of the person in need below.

     

    Name
    Please type your full name.

    E-mail(*)
    A valid email address is required.

    Phone
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    City(*)
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    Please explain your situation below and what type of services you are seeking.(*)
    Service request information is required.

    Have you served in any branch of the US Military?
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    Are you interested in applying for CalFresh? It's a nutritional assistance program that provides you with an EBT card to purchase food at local grocery stores and farmer's markets. (*)
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    Please Enter Code(*)
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    Please allow up to 48 hours for our trained Information & Referral Specialists to respond to your request.


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