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 24 business hours for one of our Information & Referral Specialists to respond to an online inquiry. If you are seeking resource or assistance for an immediate need, it is recommended that you dial 2-1-1 now. Western Colorado 2-1-1 business hours are Monday through Friday 8:00 AM to 5:00 PM.

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

Name
Your answer
Email * *
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Phone
Include area code
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City / Zip Code *
This is needed to locate services in your area.
Your answer
Please explain your situation below and what type of services you are seeking *
Your answer
Have you served in any branch of the US Military?
Please select an age range. *
Some services have age requirements and guidelines.
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