ADS Universal Grant Form

Our goal is to provide grants to those who might not have the means to access assistance to address their special needs

Submit the required documents by either printing and mailing them or by scanning the completed document and sending it via email to the address specified on the grant form.

Mail in Grant Form

*Checks will be made out to provider and sent to you

*Send proof of diagnosis (Doctor's note, OPWDD Statement, IEP cover page)

*Send invoice for service

*Applications without sufficient information will not be considered until the packet is complete