Main Menu Request Help Donate Today

How Can We Help?

We are happy to help you if you are already in the United States and live in Alameda County or Contra Costa County. If you do not live in the East Bay,
learn about other resources.

Please enable JavaScript in your browser to complete this form.
What services are you looking for?
Please enable JavaScript in your browser to complete this form.
What services are you looking for?
Please enable JavaScript in your browser to complete this form.
What services are you looking for?
Please enable JavaScript in your browser to complete this form.
What services are you looking for?
Please enable JavaScript in your browser to complete this form.
What services are you looking for?
Please enable JavaScript in your browser to complete this form.
Referring Party
Referring Party’s First and Last Name

My Name

My Parent/Guardian’s Name, if a Minor
I am Currently a JFCS East Bay Client?
If Services are Delivered in English, I Will Need an Interpreter
I am a Jewish Community Member
I am a/an
I Have Medi-cal Coverage
I do not Have CalFresh Benefits, but I Would Like Support in Signing up
As a Resident of Alameda County, I Have CalFresh Benefits
I am Requesting the Following Services (check all that apply)
My Address is
Name
I am Submitting This Referral With the Consent of all Necessary Parties

Confidentiality Notice: Your information is secure and will remain strictly confidential. We will never share, sell, or distribute your personal details without your explicit consent. All submissions are processed through a secure system to protect your privacy.

Please enable JavaScript in your browser to complete this form.
¿Qué servicios estás buscando?
Please enable JavaScript in your browser to complete this form.
¿Qué servicios estás buscando?
Please enable JavaScript in your browser to complete this form.
¿Qué servicios estás buscando?
Please enable JavaScript in your browser to complete this form.
¿Qué servicios estás buscando?
Please enable JavaScript in your browser to complete this form.
¿Qué servicios estás buscando?
Please enable JavaScript in your browser to complete this form.
Какие услуги вы ищете?
Please enable JavaScript in your browser to complete this form.
Какие услуги вы ищете?
Please enable JavaScript in your browser to complete this form.
Какие услуги вы ищете?
Please enable JavaScript in your browser to complete this form.
Какие услуги вы ищете?
Please enable JavaScript in your browser to complete this form.
Какие услуги вы ищете?
Please enable JavaScript in your browser to complete this form.
به دنبال چه خدماتی هستید؟
Please enable JavaScript in your browser to complete this form.
به دنبال چه خدماتی هستید؟
Please enable JavaScript in your browser to complete this form.
به دنبال چه خدماتی هستید؟
Please enable JavaScript in your browser to complete this form.
به دنبال چه خدماتی هستید؟
Please enable JavaScript in your browser to complete this form.
به دنبال چه خدماتی هستید؟
Please enable JavaScript in your browser to complete this form.
تاسو د کومو خدماتو په لټه کې یاست؟
Please enable JavaScript in your browser to complete this form.
تاسو د کومو خدماتو په لټه کې یاست؟
Please enable JavaScript in your browser to complete this form.
تاسو د کومو خدماتو په لټه کې یاست؟
Please enable JavaScript in your browser to complete this form.
تاسو د کومو خدماتو په لټه کې یاست؟
Please enable JavaScript in your browser to complete this form.
تاسو د کومو خدماتو په لټه کې یاست؟
Request Help
Spread the kindness today!

Volunteer Services is collecting Gift Cards of all types and other items from our Amazon Gift Registry to support over 300 families by December.

This list was carefully compiled based on what our clients have requested the most. We are grateful for any contribution!