Relief Agency Information Form

NC 2-1-1 needs your help to direct callers to the appropriate services.

Is your organization providing or planning to provide recovery and rebuilding assistance in NC communities affected by Hurricane Matthew? Our NC 2-1-1 call specialists want to know more about your services.

Please enter you organization's information in the form below. The NC 2-1-1 call specialists will use the information to appropriately direct callers to your organization's services. To ensure we provide accurate referrals, a member of our NC 2-1-1 staff may contact you with questions or for additional information before adding your services to our database.

If you are unable to complete the form online or have additional questions, contact Heather Black, NC 2-1-1 Statewide Strategic Director, at