Washoe County Senior Services Forms

Senior Services Forms and Other Resources:

BROCHURES:

• Adult Day Health Brochure (English)
• Adult Day Health Brochure (Spanish)
• Community Resource Guide (not a comprehensive list)
• Senior Services Brochure

FORMS:

• Congregate Meal Registration Form (English)
• Forma de Registro Nutricional (Congregate Meal Registration Form Spanish)
• Forma de Registro (Registration Form Spanish)
• Registration Form (English)
• Consumer Complaint and Grievance Form
• Notice of Privacy Practice (English)
• Aviso de Practicas de Privacidad (Notice of Privacy Practice Spanish)
• Senior Services/Home Delivered Meals Referral Form
• TAXI Bucks Application (Senior Ride) - Application must be printed out and submitted in person to Washoe County Senior Services at 9th and Sutro

MISC.:

• Community Homemaker Provider List (not a comprehensive list)
• Affordable Housing List (not a comprehensive list)

If you need additional information or have questions, please contact Washoe County Human Services Agency at 775.328.2575 or email sr_info@washoecounty.us.