Please select one:
 I am a care provider I am an IHSS consumer I am a family member/community supporter

Your county: ---ButteEl DoradoKernMercedOrangePlacerRiversideSan DiegoSan Luis ObispoSanta BarbaraStanislaus

Name:

Phone:

Email:

I would be willing to contact others in the homecare community by (check as many as apply):

 Writing a letter Calling others from my local union office (phone-banking) Visiting people door-to-door Setting up a table at a local event to distribute flyers Visiting my representative Joining others at a meeting or rally

* All fields required