Forms Related to COVID-19
Individual Support Agreement (ISA) COVID-19 Change Form
Payment Authorization Form, COVID-19
Return to Community Activities Assessment Tool
Return to Employment Services Assessment Tool
Below are some frequently used forms for developmental disabilities services. Additional forms can be found in policies or guideline documents that are in the Document Library.
Accessibility Standards and Checklist (Pre-Inspection form)
Chimney Cleaning and Inspection by Non-Professional form
Critical Incident Reporting Form
DAIL Risk Assessment Face Sheet
DAIL Risk Assessment Other Behavior Worksheet
DAIL Risk Assessment Sexual Behavior Worksheet
DAIL Risk Assessment Violent Behavior Worksheet
DAIL Risk Assessment Violent Behavior Static Information
Equity/Public Safety Funding Form (Spreadsheet)
Equity/Public Safety Funding Proposal Request
Eligibility Form, DD Home and Community-Based Services (HCBS)
Home Safety Assessment Request for Housing Contractor
Housing Standards and Checklist (Pre-Inspection form)
Living Out-of-State Report Form for DD Home and Community-Based Services (HCBS)
Notification of Transfer/Termination Form for DD Home and Community-Based Services (HCBS)
Sex Offender Treatment Intervention and Progress Scale (SOTIPS) Score Sheet
Vermont Crisis Intervention Network (VCIN) Referral Form
Violent Offender Treatment Intervention and Progress Scale (VOTIPS) Score Sheet