Milwaukee Responds to Covid19
Milwaukee area grass-roots, non-profit, and business community members are stepping up to help their neighbors. If you are offering services to the public or know of any services being offered please share that info here. IF YOU ARE NOT SURE ABOUT A RESPONSE PLEASE LEAVE THE ITEM BLANK thank you!
What is the service being provided? *
If "Other" please explain
Organization Name *
Organization Location *
Service Location if different from Organization Location
If unknown write N/A
Organization Phone *
If unknown write N/A
Organization Email *
If unknown write N/A
Service Hours *
If unknown write N/A
Service Capacity *
If you know how many people, slots, orders can be fulfilled. Fill in below, if unknown write N/A
Your email (if you wish)
Submit
Never submit passwords through Google Forms.
This form was created inside of Code for America. Report Abuse