Client Forms


Our forms are provided to our clients in this section.  If you do not see what you are looking for, check in our programs section or  contact: Lori Ozores at her email: or call: 845-338-8750, ext. 112.

Weatherization Forms:  pending (call for assistance)

Weatherization Application – Homeowners  

Application and Forms are currently being updated. Please call for an application. We apologize for any inconvenience.

* Renters along with Landlords need to call the office for information and applications.

* Group Homes and Shelters need to call the office for approval.

HEAD START & EARLY HEAD START PROGRAMS:     UCCAC Customer Application Intake Form January 2019

Program Year Calendar/Handbook: Parent Calendar for Program Year 2018-2019

Child Physical and Dental Form: Child Dental Form – EHS & HS Child Child Physical Exam 2019 with fax#

Head Start Application:  App – fillable EHS&HS English&Spanish   

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