Office for People With Developmental Disabilities

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To request a form in large-print or in a language other than English, contact Nicole Weinstein, OPWDD Statewide Language Access Coordinator, at [email protected] or phone 518-402-4244. Individuals with hearing impairment use NY Relay System 7-1-1.

Application Forms

Application for Certificate of Relief Pertaining to Firearm Possession

CAB Informed Consent Forms

Certification of Need (CON) Forms

Certified Residential Opportunities Forms

Coordinated Assessment System (CAS) Forms

Criminal History and Background Check Forms

Criminal Background Check Information

Developmental Disabilities Profile User Guide and Forms

Family Support Services Forms

Front Door Forms

Health Care Adjustment Forms


Home and Community Based Services Waiver and Eligibility Forms


Intensive Behavioral Services Forms

Liability Documents for Provider Use Forms

Medicaid Service Coordination Forms

Medicare Part D Forms

Options for People Through Services (OPTS) Forms

Additional Information

Payment Processing Unit Billing Forms and Instructions

Additional Information

Personal Allowance Forms


Prevocational (Site Based and Community Based) Forms

Reasonable Accommodation

Reportable Incident and Allegation of Abuse Forms

Restrictive Intervention Application

Restrictive Intervention Application (RIA) Information

Self-Direction Forms

Supported Employment (SEMP) Forms

Training Forms


Additional Forms