JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
COVID helpline request form
Expiry 31 May 2021
This form will help us know the about the requirement for COVID helpline numbers and our team will call back to help them. This is a pro-bono service by
www.MyOperator.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your name
*
Your answer
Your mobile number
*
Your answer
Describe how are you helping people in COVID.
*
Please write in few lines and also share online links for us to verify.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of MyOperator.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report