Interested In Becoming A 211 Affiliate?

Please contact us if you are interested in becoming an affiliate of 211 Helpline and wish to be included in our database. Agencies and or organizations must go through a vetting process based on our Inclusion/Exclusion Criteria.

Step #1
Please click to read the Inclusion/Exclusion Criteria before  downloading and completing the agency survey form. 
Step #2
After reading the Inclusion/Exclusion Criteria and you feel you may meet the criteria please download and complete the Agency Survey Form
Step #3
Also download and include a signed copy of our Affiliate Agreement Form  should you be approved our President/CEO will sign and you will be given a copy

Step #4

Attach your completed Agency Survey Form and Affiliate Agreement Form
email to: or
Fax: ATTN: Judi Hechtman to (561) 383-2172 
or mail:  211 HelpLine, ATTN: Judi Hechtman, PO Box 3588, Lantana, FL 33465
(Please allow sufficient time for processing before you reach out to us.)


Already An Affiliate & Need To Update Your Information:

It is important that we keep our provider/resource information as current as is possible. We ask that our affiliates immediately  let us know of any changes, whether it be contact info or changes in programs or services.

Please contact:

Judi Hechtman
211 HelpLine
Database Specialist
P.O. Box 3588
Lantana, FL 33465-3588
Tel: 561.383.2162
FAX: 561.383.2172


*Please note that all organizations must meet 211 Palm Beach/Treasure Coast's Inclusion/Exclusion Criteria to be in the database