Home Safety Assessment Request for Housing Contractor
13 July 2020
Disabilities, Aging and Independent Living
Form
Documentation of Chimney Cleaning and Inspection by Non-Professional Form
13 July 2020
Return to Employment Services Assessment Tool
10 June 2020
Return to Community Activities Assessment Tool
10 June 2020
COVID Payment Authorization Form
15 May 2020
Individual Support Agreement (ISA) COVID-19 Form
13 May 2020
Living Out-of-State Report Form for DS Home and Community Based Services (HCBS)
05 September 2019
Sex Offender Treatment Intervention and Progress Scale (SOTIPS) Score Sheet
01 January 2013
DAIL Risk Assessment Violent Behavior Static Information
05 February 2018
Petition for Guardianship Services for an Adult with Developmental Disabilities
24 January 2018
Pages
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