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Disabilities, Aging and Independent Living
Developmental Disabilities Services Division

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Documents

Category: Form
File Name File Categorysort ascending Date File Format
Equity and Public Safety Budget Form - Fillable Form Office spreadsheet icon Equity-Public_Safety-Budget_Form.xls Form 01 Oct 2021 Spreadsheet
DAIL Risk Assessment Violent Behavior Worksheet PDF icon DAIL_Risk_Assessment_Violent_Behavior_Worksheet.pdf Form 05 Feb 2018 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
Model Guardianship Evaluation Form PDF icon OPG - Model Clinical Evaluation Form Form 24 May 2016 PDF
Emergency Fact Sheet PDF icon dds-emergency-fact-sheet.pdf Form 07 Feb 2017 PDF
DAIL Risk Assessment Other Behavior Worksheet PDF icon DAIL_Risk_Assessment_Other_Behavior_Worksheet.pdf Form 05 Feb 2018 PDF
Home Safety Assessment Request for Housing Contractor File DAIL_Home_Safety_Assessment_Request_for_Housing_Contractor.docx Form 26 Jan 2021 Text
Petition for Guardianship Services for Adult with DD PDF icon OPG-Petition-for-Services-Adult-with-DD.pdf Form 01 Aug 2002 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

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Contact Us

Developmental Services Division
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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Performance Dashboards

  • Agency of Human Services Results Scorecard
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