Skip to main content

User account menu

Log in

Main Menu

Get Help
About
Partners
Contact Us
Dial 211

Main Menu

Get Help
About
Partners
Contact Us
Dial 211

User Account Menu

Log in

Assessment Form

Home
Assessment Form

Filter Your Results by Zip Code (optional):

Please Select One

Housing

Utilities

Health

Food

Housing

Which of these is more fitting with your housing needs?

Place to Rent

Emergency Housing

Rent Payment/Deposit/Mortgage

Section 8 (Application)

Please Select One

Rent Payment

Rent Deposit

Mortgage

Have you been affected by COVID 19?

Yes

No

Is there anyone under the age of 18 in the home?

Yes

No

Utilities

Which of these is more fitting to your utility needs?

Utility Providers

Heat

Other Utility Assistance

Which utility are you needing help with?

Electric

Internet

Natural Gas

Telephone

Water

Health

Which of these best fit your health needs?

Clinics

Needing Health Insurance

Transportation to Medical Appointments

Substance Use Information

Do you have health insurance?

Yes

No

Please call your insurance provider.

Do you have Medicaid?

Yes

No

Do you have any disabilities?

Yes

No

Are you 60 years of age or older?

Yes

No

Are you needing an inpatient program?

Yes

No

Are you needing outpatient program?

Yes

No

Food

Which of these best fit your food needs?

Pantries

Prepared Meals

SNAP/Food Stamps

Are you homeless?

Yes

No

Are you 60 years of age or older?

Yes

No

Are you homebound?

Yes

No

Do you need help with the application?

Yes

No

Get Help

Begin a Search
Connect with Us

Follow Us

Facebook
Instagram
Twitter

Get in Touch

Partners/Providers
Become a Provider
Privacy Policy

Copyright 2023 Utah 211 via United Ways of Utah. All Rights Reserved.

The information on this page is intended to be used by individuals for the purpose of accessing the resources for themselves, their clients, or those they care about. It should not be used for other purpose without prior permission from Utah 211, 888-826-9790.