State of Indiana
Division of Disability and Rehabilitative Services
Division of Aging
Consumer Information Options
Requests for Caregiver Support Services have been suspended until the next State Fiscal Year, starting July 1, 2016.
Please return to this web-site on 7/1/2016 or later to submit requests for the 2016-17 State Fiscal Year.
Note: You may enter either the (partial) SSN of the consumer
their Dart-ID (if known) in the first line.
In addition, the First Name, Last Name and DOB values of the consumer are
SSN (last 4 digits):
Consumer / Self
Guardian / Family Member
Requestor First Name:
Requestor Last Name: