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Are you a community member looking for food, housing, transportation, peer support, or other services? Fill out the secure form below.​

Filling out this form means you’re asking to be connected to services in your area. Once completed, a staff member at the Utah Coordination Center will contact you within two business days. The Utah Coordination Center is operated by Utah 211 and will work with you to discuss the best services that can support you at this time. The information you enter is completely confidential and there is no cost for this service.

Please use this form only to request services for yourself or a child (under 18 years old) or adult for whom you have legal guardianship. Consent submitted through this form should be signed by the person who would be receiving services or by their parent or legal guardian only.

Learn more about how we protect your information at https://uniteus.com/protect/.