Applications

Successful outcomes begin by meeting a service coordinator.

Individuals interested in seeking funding must complete an application. You may visit or call your local office for the form, or click on the button below to download the application. Completed applications should be returned to your local CICS office.

To qualify for funding, applicants must meet the following criteria:

• Have a mental health challenge or intellectual and other developmental disability
• Meet specified income and resource guidelines
• Reside in the CICS region
• Complete an assessment that shows need for service

Download Application     or     Apply Online

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