COVID-19 Service Updates
Please use this form to provide PA 211 with the latest news and information regarding your organization's services during the COVID-19 outbreak. Both agencies already listed in 211, and those not yet listed, are welcome to submit their information. We will use this information to better serve members of the public who call 211 for COVID-19-related assistance.
Email address *
Organization Name *
Your answer
County *
Your answer
Location of Service *
Your answer
Service Additions or Changes *
Your answer
Days and Times of Additions or Changes *
Your answer
Status of Contact *
Start Date *
MM
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DD
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YYYY
Anticipated End Date *
MM
/
DD
/
YYYY
Website or Facebook Page *
Your answer
If you have volunteer opportunities at your facility, please describe them here:
Your answer
How should prospective volunteers contact you?
Your answer
A copy of your responses will be emailed to the address you provided.
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