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. Please note that by submitting your Agency, you are agreeing that PA 2-1-1 SEPA may use your agency information for referral and publication purposes. All information submitted may be edited by PA 2-1-1 SEPA to adhere to our style guide.

    If you need assistance, please contact the 2‑1‑1 SEPA Program Manager at 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






    Permission to Use Data


    Name and Title of Person Completing This Form