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COVID-19 Contact Form

  1. Courtesy Call For Seniors:
    Sign up to receive a courtesy call from the City of Green twice a week. This check-up call will help us address your concerns and ensure our senior residents are safe.
  2. Requesting Assistance:
    Residents in need of special assistance due to the COVID-19 restrictions may request assistance via this contact form.
  3. Age:*
  4. Offer Assistance:
    Individuals, organizations, or businesses with resources or the ability to help others in a unique or meaningful way during this crisis.
  5. Are you age 60 or older?*
  6. Volunteer List:
    Join our volunteer list to help when needed. A volunteer's role will change as new information is presented in this developing situation.
  7. Leave This Blank:

  8. This field is not part of the form submission.