Skip to Content

Settings Menu

  • Language
  • High Contrast
  • Font Size
  • Disclaimer
CT.gov Logo Connecticut's Official
State Website
Top
dds logo white new

State of Connecticut Department of Developmental Services

  • CT.gov Home
  • Department of Developmental Services
  • Current: Eligibility Forms
  • Families
  • Provider Gateway
  • Boards & Councils
  • Divisions
  • Regions
  • Topics A - Z
  • Programs and Services
  • Advocates' Corner
  • STEP
  • Subscribe for DDS Updates
Search Department of Developmental Services
Filtered Topic Search
Forms
  • Checklist for Application (PDF 137 KB)  Checklist for Application Spanish (PDF 225 KB)

  • Application(PDF, 1 MB)   Application Spanish (PDF, 1 MB)

  • Acknowledgement Form for HIPAA (PDF, 26 KB)

  • Authorization for Release of Information(DOC, 195 KB)

  • Request for Hearing – Eligibility Services (PDF, 39 KB)
  • Policies
  • Accessibility
  • About CT
  • Directories
  • Social Media
  • For State Employees
  • United States Flag United States FULL
  • Connecticut Flag Connecticut FULL

© 2016 CT.gov | Connecticut's Official State Website

Connecticut Still Revolutionary Logo