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NOTICE:
Requests for Caregiver Support Services have been suspended until the next State Fiscal Year, starting July 1, 2017.
Please return to this web-site on 7/1/2017 or later to submit requests for the 2017-18 State Fiscal Year.
Thank you for your support and we apologize for any inconvenience this may cause.



 
 
Consumer Information
Note: You may enter either the (partial) SSN of the consumer OR their Dart-ID (if known) in the first line.
In addition, the First Name, Last Name and DOB values of the consumer are ALL required.
       
       
 
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