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Organization Inclusion Request Form


If you are a service provider interested in being included in Washington State’s CLC Resource Directory, please fill in the following information and click on the Submit button. Someone from a local CLC will then contact you.

Organization Name *

Address

City
State
ZIP Code

Select a County *

Contact Name *

Email *

Phone *

What is your organization type? *
Enter brief description of your services and programs:

Your Name *

Title


Note: * is a required field

Call Toll-Free 1-855-567-0252