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)