This is an initial intake form and will NOT be shared or used with any government agencies.  We collect information to assess our ability to help you and your family.  JFS of Greenwich’s goal is to support families to address financial, employment, medical or psychological issues due to the COVID-19 crisis.  The program requires recipients of services to allow visits to your home or the JFS Office, twice (2) a month.  We respect the confidentiality of ALL clients and their information. 

COVID-19 Intake Form

  • What was your last job and date?