City of North Miami Data Registration Coronavirus Emergency Assistance (Residents Only)
The City of North Miami is closely monitoring the evolving circumstances surrounding the Coronavirus (COVID-19) pandemic and understands the impact on many of our residents, especially seniors. We are asking all of our residents to do their best to follow the CDC recommendations, especially social distancing.

We working around the clock to deliver essential services to those most vulnerable in our community.

If you know of a City of North Miami resident and may need help throughout this crisis, please complete the form below.

Services available (1 per household and first come, first served):

Dry-Good Food (Ex: Rice, Beans, Oatmeal, Cornmeal, Evaporated milk, etc.)

We will prioritize the list based on need. We will handle requests on a first-come, first-serve basis. Our resources are limited, but I want to make sure we deliver the best service to our residents during this difficult time.

City of North Miami
Email address *
City of North Miami Map
City of North Miami Residents Only (one registration per household)
Service Registration Form
Age: *
First & Last Name *
Address *
Phone Number (Prefer Cell) *
HELP YOUR NEIGHBOR: If you know of someone who lives near you and needs help and they may not have access to this form, you can help them by providing us with their info, and we will include them in our database for services. Complete the line below: Name, Address, Cell, and Email.
If you have any other Concerns and/or questions please let us know:
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy