Submitting an 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 72 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, it is recommended that you:

    DIAL 2-1-1 NOW

    Name(*)
    Please type your full name.

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

    Phone(*)
    Please enter your phone number

    City(*)
    City is required

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

    Are there minor children in the household?
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    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(*)
    Please Enter Code
    RefreshInvalid Input

    If you would like to request information, referrals, or assistance online, you may also do so via email at This email address is being protected from spambots. You need JavaScript enabled to view it.. Please provide your phone number, city, and explain your situation and the type of services you are seeking. If you are inquiring on behalf of someone else, please provide the same information as above for the person in need.

    Please allow up to 72 hours for our trained Information & Referral Specialists to respond to your request.

     

     


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