Remove / Suspend Agency or Service Listing

Please use the form below to request a removal of your agency or service listing from Nevada 2-1-1.

Call us at (702) 364-0344 to request a temporary suspension of your listing.

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1 Step 1

Legal Agency Name

Primary/Corporate Address

City

State

Zip

Is the physical address confidential?pick one!

YesNo

County

Website URL

Information Submitted By:

Signature

Title

Emaila valid email

Telephone

Fax

Dateof submission

I have authority from my agency to make these changes in 2-1-1.pick one!

Yes