Salt Lake Valley COVID-19 Request Support Form
SLC area COVID-19 "Request Support" Form
If you would like food or other supplies dropped off at your front door, please use this form.

View this form in:
Español (Spanish): https://forms.gle/KjznxwWk33B8ccYh7
Tiếng Việt (Vietnamese): https://forms.gle/hr3s1FbYXFzADDL97
Volunteer with us
English: https://forms.gle/5QYFavEzMkqaSAoC6
Espanol (ser voluntario): https://forms.gle/fz2Fjc35TUXzCyyc9

We are an all-volunteer grassroots group operating in the traditional land of the Shoshone, Ute, Piute, and Goshute. We are prioritizing folks who are sick, disabled, quarantined without pay, elderly, undocumented, queer, Black, Indigenous, and/or people of color -- including those displaced from Salt Lake City to the nearby areas. Thank you for your patience and grace.

Questions, updates or want to get involved?
Facebook group: Facebook.com/groups/Covid19MutualAidSLC
Facebook page: Facebook.com/Covid19MutualAidSLC
Instagram: @covid19mutualaidslc
Twitter: @covid19aidslc
Email: covid19mutualaidslc@gmail.com
Volunteer with us: https://forms.gle/5QYFavEzMkqaSAoC6
If you have supplies to donate directly to our unhoused neighbors, please contact us on facebook or email

Let's take care of each other. By us for us.
Vamos a cuidarnos unes a otres. Por nosotres, para nosotres.
እርስ በርሳችን እንከባከብ። በኛ ለኛ።
守望相助。
ነንባዕልትና ንተሓባሐብ። በባዕልትና ንባዕልትና።
Bởi chúng tôi cho chúng tôi

Credit to Seattle Mutual Aid network (@covid19mutualaid on instagram) for form design and language.
Name *
This does not need to be your legal name. Add your pronouns, too, if you want!
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Your answer
How should we contact you? *
Please include your phone number, email, and/or Facebook messenger -- give several options if possible.
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