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New Freedom
Application Packet
Voucher Guidelines
Exception Policy
Transportation Providers
Re-order Form
Services New Freedom Application Packet

New Freedom Application Packet

To get started, please read the introduction letter and fill out and return the application form, voucher order form, and release of information form.

  • Introduction Letter
  • New Freedom Application Form
  • New Freedom Voucher Order Form
  • Release of Information

For more information, contact:

Amanda Vanatti
CICOA Transportation Options Coordinator
This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Phone:(317) 803-6020
Fax: (317) 803-6151

-or-

Aging & Disability Resource Center
(317) 254-3660
(800) 432-2422
Relay Service: 7-1-1

 

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