Update existing information in the Nevada 2-1-1 database

Step 1 – Find your agency and service listings in the Nevada 2-1-1 database

Find your agency by entering your full agency name in the search tool to see the information currently in the Nevada 2-1-1 database.  If you cannot find your information, try removing “The”, “LLC”, “INC” and any punctuation from the name, and click search again.

Enter the full name of your agency.
Using partial names will produce inaccurate results.

Step 2 – Update your information

Please use the form below to let us know if your information is the same or if our records need to be updated.

[[[["field64","equal_to","Yes"]],[["show_fields","field115,field116,field118,field117,field119,field120,field121,field123,field122,field125,field124,field126,field127,field128,field69"]],"and"],[[["field85","equal_to","Yes"]],[["show_fields","field87,field88,field89,field90,field91,field92,field93,field97,field103,field94,field98,field104,field95,field99,field105,field100,field101,field106,field96,field102,field107"]],"and"],[[["field64","equal_to","No"]],[["hide_fields","field115,field116,field118,field117,field119,field120,field121,field123,field122,field125,field124,field126,field127,field128"]],"and"],[[["field114","equal_to","Yes"]],[["show_fields","field109,field28,field33,field78,field79,field80,field81,field82,field83,field108,field110,field111,field112,field129,field85,field268,field182,field317,field318,field319,field320,field321,field334,field335,field336,field142"]],"and"],[[["field114","equal_to","No"]],[["hide_fields","field87,field88,field89,field90,field91,field92,field93,field97,field103,field94,field98,field104,field95,field99,field105,field100,field101,field106,field96,field102,field107"]],"and"],[[["field191","equal_to","Yes"]],[["show_fields","field192,field193,field216,field200,field202,field212,field199,field204,field210,field198,field203,field209,field197,field201,field208,field196,field206,field207,field195,field205,field194"]],"and"],[[["field213","equal_to","Yes"]],[["show_fields","field214,field215,field211,field217,field223,field229,field218,field224,field230,field219,field225,field231,field220,field226,field232,field221,field227,field233,field222,field228,field234"]],"and"],[[["field129","equal_to","Yes"]],[["show_fields","field285,field135,field132,field133,field134,field313,field286,field138,field139,field140,field141,field312,field287,field148,field151,field154,field158,field311,field288,field145,field150,field153,field157,field310,field289,field155,field149,field152,field309,field142"]],"and"],[[["field142","equal_to","Yes"]],[["show_fields","field159,field163,field165,field168,field170,field172,field174,field176,field178,field183,field185,field186,field189,field322,field323,field324,field325,field191,field235"]],"and"],[[["field235","equal_to","Yes"]],[["show_fields","field290,field237,field238,field239,field240,field314,field291,field242,field243,field244,field245,field315,field292,field259,field260,field261,field262,field316,field161"]],"and"],[[["field161","equal_to","Yes"]],[["show_fields","field162,field167,field169,field171,field173,field175,field177,field179,field184,field188,field187,field190,field326,field327,field328,field329,field330,field213,field236"]],"and"],[[["field236","equal_to","Yes"]],[["show_fields","field293,field247,field248,field249,field250,field294,field251,field252,field253,field254,field295,field255,field256,field257,field258,field331,field332,field333"]],"and"],[[["field180","equal_to","No"]],[["show_fields","field114"]],"and"],[[["field129","equal_to","No"]],[["show_fields","field142"]],"and"]]
1 Step 1
I. AGENCY INFORMATION
Legal Agency Name

Use this form to update primary information for an agency already in the 2-1-1 database.

Primary information includes agency description, address, hours of operation, contact info, and areas served. This excludes program and service updates, which can be inputted under a later question.

Please verify in order to complete the update

For existing agencies, please update only the information that has changed in your current 2-1-1 listing in the form below. All other lines can be left blank, except for required fields. You can check your current agency listing in the search tool above or by clicking here. You will be able to update your services later in this form.

DBA
Description of agency services
0 / 150
Primary/Corporate Address
City
State
Zip
Is the physical address confidential?
Cross Streets
County
Mailing Address
City
State
Zip
Is the mailing address confidential?
Telephone
Fax
Website URL
Hotline
Geographic Area Served
Do you need to update your agency's primary/corporate hours of operation?
Monday Open
Monday Close
Tuesday Open
Tuesday Close
Wednesday Open
Wednesday Close
Thursday Open
Thursday Close
Friday Open
Friday Close
Saturday Open
Saturday Close
Sunday Open
Sunday Close
Agency Top Executive (Name)
Title
Year Agency Incorporated
Agency License and Accreditations
IRS Tax Status
Please check one box to indicate your agency's organizational status.pick one!
Have all services remained the same?
Do you have a service to update?
II. Service Information

Use this section to update service information. Each service will need to be updated individually.

 

You will be able to update up to 3 services on this form.   If you have additional services to update, you will be able to submit those changes on a separate form after you click submit at the bottom of this page 

 

To view your current 2-1-1 listings, click hereYou can list the service name or 2-1-1 database URL (preferred) found in the search tool.

Name of service to be updated:

Please update only the information that has changed. 

Service description:describe the program
0 / 150
Eligibility
Insurance accepted?
Type of insurance (if applicable)
Geographic Area Served
Application Method
Documents Required for Service Eligibilitylist the documents
0 / 1000
Target Population for Service
Type(s) of Fees/Amounts for Service
Languages Available
Main Service Telephone
Service Hotline
Web Address
Current Service Mailing Address
New Service Mailing Address
City
State
Zip
Do you need to update your service's hours of operation?
Monday Open
Monday Close
Tuesday Open
Tuesday Close
Wednesday Open
Wednesday Close
Thursday Open
Thursday Close
Friday Open
Friday Close
Saturday Open
Saturday Close
Sunday Open
Sunday Close
Do you need to provide additional information for some of your service locations, such as address, phone or languages spoken?
Current Service Delivery Address
New Delivery Address
City
State
Zip
Location FeaturesProvide info that is different from other locations - phone, email, languages spoken, hours of operation
0 / 1000
Current Service Delivery Address
New Delivery Address
City
State
Zip
Location FeaturesProvide info that is different from other locations - phone, email, languages spoken, hours of operation
0 / 1000
Current Service Delivery Address
New Delivery Address
City
State
Zip
Location FeaturesProvide info that is different from other locations - phone, email, languages spoken, hours of operation
0 / 1000
Current Service Delivery Address
New Delivery Address
City
State
Zip
Location FeaturesProvide info that is different from other locations - phone, email, languages spoken, hours of operation
0 / 1000
Current Service Delivery Address
New Delivery Address
City
State
Zip
Location FeaturesProvide info that is different from other locations - phone, email, languages spoken, hours of operation
0 / 1000
Do you need to update additional services in the 2-1-1 database?
Name of service to be updated:

Please update the information that has changed:

Service description:describe the program
0 / 150
Geographic Area Served
Application Method
Documents Required for Service Eligibilitylist the documents
0 / 1000
Target Population for Service
Type(s) of Fees/Amounts for Service
Languages Available
Main Service Telephone
Service Hotline
Web Address
Current Service Mailing Address
New Service Mailing Address
City
Zip
Do you need to update your service's hours of operation?
Monday Open
Monday Close
Tuesday Open
Tuesday Close
Wednesday Open
Wednesday Close
Thursday Open
Thursday Close
Friday Open
Friday Close
Saturday Open
Saturday Close
Sunday Open
Sunday Close
Do you need to provide additional information for some of your service locations, such as address, phone or languages spoken?
Current Service Delivery Address
New Delivery Address
City
State
Zip
Location FeaturesProvide info that is different from other locations - phone, email, languages spoken, hours of operation
0 / 1000
Current Service Delivery Address
New Delivery Address
City
State
Zip
Location FeaturesProvide info that is different from other locations - phone, email, languages spoken, hours of operation
0 / 1000
Current Service Delivery Address
New Delivery Address
City
State
Zip
Location FeaturesProvide info that is different from other locations - phone, email, languages spoken, hours of operation
0 / 1000
Do you need to update additional services in the 2-1-1 database?
Name of service to be updated:
Service description:describe the program
0 / 150
Geographic Area Served
Application Method
Documents Required for Service Eligibilitylist the documents
0 / 1000
Target Population for Service
Type(s) of Fees/Amounts for Service
Languages Available
Main Service Telephone
Service Hotline
Web Address
Current Service Mailing Address
New Mailing Address
City
State
Zip
Do you need to update your service's hours of operation?
Monday Open
Monday Close
Tuesday Open
Tuesday Close
Wednesday Open
Wednesday Close
Thursday Open
Thursday Close
Friday Open
Friday Close
Saturday Open
Saturday Close
Sunday Open
Sunday Close
Do you need to provide additional information for some of your service locations, such as address, phone or languages spoken?
Current Service Delivery Address
New Delivery Address
City
State
Zip
Location FeaturesProvide info that is different from other locations - phone, email, languages spoken, hours of operation
0 / 1000
Current Service Delivery Address
New Delivery Address
City
State
Zip
Location FeaturesProvide info that is different from other locations - phone, email, languages spoken, hours of operation
0 / 1000
Current Service Delivery Address
New Delivery Address
City
State
Zip
Location FeaturesProvide info that is different from other locations - phone, email, languages spoken, hours of operation
0 / 1000

If you have other agency services to update, you will be able to do so in a separate form after you submit this update. You will not be required to re-enter your agency information.

Information Submitted By:

Signature
Title
Telephone
Dateof submission
I have authority from my agency to make these changes in 2-1-1.

Our agency meets all the applicable federal, state, and local laws, requirements, and regulations, including fire, health, and zoning codes. To the best of my knowledge all of the preceding information is true and accurate. Our agency agrees to indemnify and hold harmless Nevada 2-1-1, Financial Guidance Center, and the State of Nevada, their officers, employees, and agents, from any and all losses, liabilities, damages, judgements, claims, demands and causes of action of whatever kind or nature, arising out of, or in connection with, the inclusion, exclusion, or use of information contained in the Nevada 2-1-1 database. Our agency agrees to update and/or validate all information provided to Nevada 2-1-1 regarding the agency’s programs, services, and resources on, at a minimum, a semi-annual basis in order to ensure relevancy and accuracy of the data available to be shared with users of Nevada 2-1-1 and that failure to comply may result in removal from the Nevada 2-1-1 database.

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If not submitting the form electronically, please print the form and mail, email, or fax the completed documents to:

Nevada 2-1-1
Financial Guidance Center
2650 South Jones
Las Vegas, NV 89146
Nevada211@FinancialGuidanceCenter.org
Phone – 702.364.0344
Fax – 702.364.5836

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