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On-Line Contact Form

The form below allows you to e-mail the Division of Disability and Aging Services (DDAS) with your questions and concerns. The division takes every inquiry and comment very seriously and asks that you fill out the form as completely as possible so your question or problem can be addressed.

E-mails will be responded to within 24 hours from time of receipt. Please note that the State offices are open for business Monday through Friday from 7:45 am to 4:30 pm except for Holidays, and are closed on the weekends.

If you would like to file a complaint, appeal or grievance, please review the procedures in the Policies and Guidelines Section of the DDAS website.

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If you are uncertain of the services/program that you need information on, please use the "Comments/Questions" section below to tell us of your needs. {Check all that apply}
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