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COVID Santa Maria Aid and Volunteer Form
Please fill out this form if you live in the Santa Maria area and have specific requests or offers for aid due to the COVID-19 pandemic. After your response has been collected, you will be contacted directly.

Want to volunteer but can't leave home? We could still use your help!

This form is organized by the SLO COVID-19 Response Coalition, a grassroots community organization seeking to build a strong, trustworthy link between our County's citizens and the governments/non-profits trying to help them.

Name *
Phone Number *
Email address
Preferred form of communication
Can you leave your home
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Are you filling out this form to request aid or offer aid?
Clear selection
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