Seniors Needing Assistance Form
Please fill out this form if you need help in the Sacramento or surrounding areas during lock-down.
If you need immediate assistance, please call 1-855-550-7877.
Name: *
Phone number: *
City: *
Gender of person needing help: *
What language is the person needing help comfortable with: *
I need help with: *
Required
Please explain below if you need something specific:
Submit
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