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: lozores@uccac.com or call: 845-338-8750, ext. 120.

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:

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: