In most cases, constituents should be directed to their Area Agency on Aging for services they are eligible to receive. However, if the constituent's attempt to obtain assistance or to resolve a problem is unsuccessful, contact our Legislative Liaison. Alternately, you may submit the following form to request assistance on behalf of your constituent:
Please download the Release of Information Form (113kb), complete it and have the constituent sign. Then, fax it to this office.
The mail/fax form and Release of Information are in Adobe Portable Document Format and will require Adobe's free Acrobat Reader or equivalent software to view.
