Forms

Our forms are available to you at the click of a button.

Just follow the prompts to complete and submit any of the forms below.   If you need help or prefer to have a form mailed to you, call us at (800) 322-3722 or send us an email.

• DSCC Program Application (English, Spanish or French)
• Authorization to Release Health Information
  (English, Spanish or French)
• Authorization to Release Media (English or Spanish)
• DSCC Participant/Legal Guardian Equipment Approval Form (English or Spanish)
• Family Reimbursement Cost Log (English or Spanish)
• Landlord Equipment Approval Form (English or Spanish)
• Travel Assistance Cost Log (English or Spanish)