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REQUEST FOR ESSENTIAL SERVICES

ESSENTIAL NEEDS REQUEST




Welcome to the Allegan County COVID-19 Coronavirus
 Essential Needs Request page 



If you are experiencing symptoms of COVID-19 such as fever, cough and shortness of breath, please contact your healthcare professional by phone prior to going into a healthcare facility. 

We are unable to provide transportation to those with symptoms of COVID-19  
1. What type of need are your currently experiencing? (Check all that apply) *This question is required.
  • * This question is required.
  • * This question is required.
2. Please provide your name *This question is required.
3. Please provide the address where emergency assistance is needed *This question is required.
4. Please provide telephone and email contact information *This question is required.