Moderate Needs Forms - Employer Agent Certification Form
Thursday, May 19, 2016
File Format:
Disabilities, Aging and Independent Living
Adult Services Division
Contact Button
Contact Us
Angela Smith-Dieng, Division Director
HC 2 South, 280 State Drive
Waterbury, VT 05671-2070
Voice: (802) 241-0294
Fax: (802) 241-0385
For Telecommunications Relay Service: Dial 711
Connect with Us
Limited English Proficiency (LEP)
This is a Division of the
Department of Disabilities, Aging and Independent Living
under the Agency of Human Services