NEED A HAND in District 11 - Assistance Signup - COVID19
District 11's COVID-19 response team is made up of your neighbors who would like to help you stay well. We'd also like to help you shelter in place if you're exhibiting COVID-19 symptoms or are worried about compromising your immune system.

Please fill out the form below to be paired with a neighbor who can help. We can help with activities outside of the home such a picking up/delivering groceries, picking up/delivering prescription drugs, dog walking, and more.

If you know of a neighbor that doesn't have access to the internet, please fill out this form with their name, phone number, and address. Someone from our team will reach out.

Questions? Contact Lisa Belcastro (Lbelcastro88@gmail.com)
FULL LEGAL NAME (first, middle, last) *
Date of Birth *
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Email Address
Street Address *
City *
Zip Code *
Phone Number *
Community Association/Neighborhood
Anything else we should know?
Submit
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