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Disabilities, Aging and Independent Living
Developmental Disabilities Services Division

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Documents

Category: Form
File Name File Categorysort descending Date File Format
Return to Community Activities Assessment Tool PDF icon Return_to_Community Activities_Svcs_Assess_Tool.pdf Form 10 Jun 2020 PDF
Petition for Guardianship Services for Adult with DD PDF icon OPG-Petition-for-Services-Adult-with-DD.pdf Form 01 Aug 2002 PDF
Return to Employment Services Assessment Tool PDF icon Return_to_Employment_Svcs_Assess_Tool.pdf Form 10 Jun 2020 PDF
Health Care Agent Appointment PDF icon Health Care Agent Basic Form Form 24 May 2016 PDF
DS HCBS Transfer or Termination Form PDF icon HCBS_Notification_Transfer_Termination.pdf Form 05 Sep 2019 PDF
Documentation of Chimney Cleaning and Inspection by Non-Professional Form File DAIL_Housing_Chimney_Cleaning_Inspection_by_Non-Professional_Form.docx Form 13 Jul 2020 Text
Petition for Guardianship Services for an Adult with Developmental Disabilities PDF icon Family_Court_Petition_for_Guardianship_Adult_with_DD.pdf Form 24 Jan 2018 PDF
Violent Offender Treatment Intervention and Progress Scale (VOTIPS) Score Sheet PDF icon Public_Safety_VOTIPS_Score_Sheet.pdf Form 01 Jan 2012 PDF
Home Safety Assessment Request for Housing Contractor File DAIL_Home_Safety_Assessment_Request_for_Housing_Contractor.docx Form 26 Jan 2021 Text
Individual Support Agreement (ISA) COVID-19 Form PDF icon COVID-19_ISA_Change_Form-Fillable.pdf Form 13 May 2020 PDF

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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

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This is a Division of the
Department of Disabilities, Aging and Independent Living
under the Agency of Human Services

 

Vermont Resources

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