Submit In-Home Services – Disabilities Request


Reporter (leave blank to submit anonymously)

Enter as 999-999-9999

In-Home Services – Disabilities

This service request should be used to request a homemaker, home delivered meals, or other assistance in the home for a person with a disability. This program is only available to people 59 years of age and under.

Instructions

Describe the issue you wish to report including a photo and/or a description.
* Indicates a required field.