Phone Intake
260 – 407 – 0917
Monday – Friday
9 a.m. – 4 p.m.
When calling our intake line, please listen to all of the options on our menu and press the number that relates to the type of assistance you need.
Online Intake
Please follow the link below and fill out the correct form completely. One of our intake specialists will contact you following your submission to advise whether you have been approved for the program or not and may collect more information needed at that time.
General Intake
Guardianship Intake
Specialized Driving Intake
See the FAQ page for additional details on who qualifies, how long the process can take, and what happens once a case is referred to an attorney.