If your family that cares for a special needs child (or children) has been adversely impacted by the corona virus pandemic and would like to request assistance, please fill out this application as thoroughly as possible.All responses must be printed legibly in English.
Once the application is filled out, you may save it and send by email along with supporting documents (preferred). Or, send everything via a quality fax machine. Or, print off all materials and send via USPS.
Photos of documents are not acceptable.
Incomplete applications will not be considered and returned to applicant for completion.