GENERAL OUTREACH:

Customer Intake Application Form – This form is required if you are applying for any of our program services. You can fill out the form online here or download and print it here.

WEATHERIZATION PROGRAM:

Weatherization Forms can be found on the Weatherization Program Page

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

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

If you do not see what you are looking for, check in our programs section or contact: Lori Ozores at lozores@uccac.com or call: 845-338-8750, ext. 112.

HEAD START & EARLY HEAD START PROGRAMS:

• Child Dental Form – EHS & HS
• Child Physical Form – HS & EHS