WeCare – Request Support
WeCare provides food and essential items to seniors and individuals with disabilities in Lorain County. Twice a month, we deliver non-perishable food to them. The City of Elyria established WeCare in March of 2020 in collaboration with local churches.


Lorain County residents can request support by calling 440-420-4344  or completing the form below.
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First Name *
Last Name *
Street Address (include apt/suite) *
By providing your address, you are consenting to this information being shared with our dedicated volunteers to ensure delivery.
City *
Zip Code *
Email Address:
No email address? No problem! Feel free to skip this question - sharing your email just provides us an additional way to contact you and share resources + information.
Phone number (xxx-xxx-xxxx) *
Please provide the best number to reach you.
Does your phone number accept text messages? *
ONLY check yes if you are comfortable receiving and responding via text. Your normal carrier rates apply.
Are you a senior and/or an individual with a disability living in Lorain County, or completing this for someone who is? *
WeCare Elyria is committed to serving Elyria's senior and disabled populations. Please self-identify by confirming either YES or NO.
How many individuals live in your home? *
Please include all human members of your household, regardless of age.
Provide the ages of each household member in the space below: *
Ages of each member of your household is required information for our food partners and ensures WeCare Elyria is tracking the appropriate intake information, and can be simply written as: 62, 18, 4, for example.
Please provide your date of birth: *
Date of Birth is required information for our food partners and ensures WeCare Elyria is tracking the appropriate intake information.
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I am in need of: *
At this time, WeCare Elyria is primarily focused on delivery food to seniors and/or disabled Elyrians. However, we're eager to learn other areas of support that exist in our community. Please select below any additional needs you may have, and list specifics in the "Other" option. Check all that apply.
Required
Anything else we should know?
Our dedicated volunteers are eager to serve! Please provide ANY information below that you feel may make our delivery process smoother, including, but not limited to: the best door to knock at your property, if it's a duplex, how to enter the building if its an apartment, if parking is available, and/or the presence of dogs at your property.
Please let us know how you discovered WeCare. Did someone refer you, did you hear about us through our website or email information?
I am able to pick up my food box?
We are now able to offer pick up services to our recipients. If you select "Yes" below we will let you know when the next available pick up date is.
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This form was created inside of Church of the Open Door.