Department of Aging and Disability Services (ADS) field offices are closed to the public as of March 18, 2020 as a protective measure for the safety of our staff and the public. Staff are working and the agency continues to provide needed core services. In the interest of the health and safety of our staff and those we serve, we may not be able to provide certain services that do not allow for appropriate social distancing at this time. For more information on available services, please use this website or call toll-free 800-537-2549.

Forms

Business Enterprise Program Business Report Template

 

Eye Report Form - Bureau of Education and Services for the Blind
Per Section 10-305 of the Connecticut General Statutes, each physician, advanced practice registered nurse and optometrist shall report in writing to the Department of Aging and Disability Services not later than thirty days after a person who is blind comes under his or her private or institutional care within this state. The report of such person shall include the name, address, Social Security number, date of birth, date of diagnosis of blindness and degree of vision.
 
Interpreter Registration Form
If you are currently interpreting in the state of Connecticut, you must complete and return an Interpreter Registration Form annually.
 
DMV Eye Care Form
In order to participate in the Driver Training Program, DMV requires your treating doctor to fill out the appropriate form and send it back on your behalf.
 
DMV Medical Form
In order to participate in the Driver Training Program, DMV requires your treating doctor to fill out the appropriate form and send it back on your behalf.