Add a Service - 2-1-1 SEPA

Add a Service to the Database

A comprehensive information and referral helpline, 2‑1‑1 SEPA uses a database containing detailed information about organizations and their programs to better direct clients to the services they need but may not be aware of. If you’d like to add your organization, please complete and submit the database inclusion application in one of the following formats:

As required by the Alliance of Information & Referral Systems’ (AIRS) accreditation standards, resources are only included in the Resource Database if they meet our inclusion standards. Eligibility for listings in the database is outlined in our PA 2-1-1 Database Inclusion and Exclusion Policy. We are unable to include for profit organizations at this time. If you have any questions about your eligibility, please contact us before completing this form.

If you need assistance, please contact the 2‑1‑1 SEPA Program Manager at info@211sepa.org or 215-665-2580.

Thank you for your continued dedication to our community!

Note:  Submissions using this form are not encrypted.  Please do not use this form to submit confidential information.

Service Information

 

Intake and Eligibility

 

Additional Service Information

 

Point of Contact's Information

 

Service Contact Information

  • Mailing Address

 

Availability

 

Updates

 

Permission to Use Data

 

Name and Title of Person Completing This Form

 

Verification