Developmental Disabilities Services Application Form
Monday, June 1, 2015
The Developmental Services Application Form that can be filled out online and printed.
File Format:
Disabilities, Aging and Independent Living
Developmental Disabilities Services Division
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Contact Us
Selina Hickman, Division Director
280 State Drive, HC2 South
Waterbury, VT 05671-2030
Voice: (802) 241-0304
Fax: (802) 241-0410
For Telecommunications Relay Service: Dial 711
This is a Division of the
Department of Disabilities, Aging and Independent Living
under the Agency of Human Services