Correspondence (e.g. completed forms) may be dropped in the voting ballot box in the south parking lot at the Courthouse (13 W 3rd, La Junta).
ADULT SERVICE FORMS AND INFORMATION
- Use "AAA_C2" form for meals for clients over age 60. Residents of Baca, Bent, Crowley, Kiowa, Otero, and Prowers Counties are eligible.
- Use "APPLICATION for COVID-19 Assistance" form to apply for assistance (groceries, utilities, rent, etc.) due to COVID-related situations . Must be a resident of Otero County.
- Use "CSBG" form to apply for assistance with utilities, essential appliances (e.g. water heaters), and for meals if under age 60. Residents of Otero, Crowley, and Bent Counties may be eligible.
Forms are posted below to allow you to view the form while completing the information with a live Adult Services representative.
Please call 719-383-3173 or 719-383-4844 to complete and submit the forms by phone.
| Filename | Size | Date & Time |
|---|---|---|
 AAA_C1_APPLICATION_for_Meals_for_60_without_ADLs |
235.2 KB | 2020-03-27 15:13:59 |
|
AAA_C2_APPLICATION_for_Meals_for_60_with_ADLs |
164.73 KB | 2020-05-13 20:28:43 |
|
APPLICATION for COVID-19 Assistance |
121.97 KB | 2020-06-01 20:48:53 |
|
CSBG APPLICATION for COVID-19 Assistance |
388.84 KB | 2020-05-05 15:49:50 |
ANNEX FORMS AND INFORMATION
Please call 719-383-3100 if you need local assistance.
| Filename | Size | Date & Time |
|---|---|---|
|
Application_For_Public_Assistance |
1.13 MB | 2020-03-31 20:06:01 |
|
Application_Info_Flyer |
308.76 KB | 2020-03-30 20:55:41 |
|
Authorization_to_Release_Information |
23.28 KB | 2020-03-30 20:56:07 |
|
Burial_Application |
1.6 MB | 2020-04-08 15:30:40 |
|
Child_Support_Application_11-2019 |
439.24 KB | 2020-03-30 20:56:18 |
|
Child_Support_Services_Review_Request |
1.02 MB | 2020-03-31 20:05:24 |
|
Food_Stamps_Change_Report_Form |
3.17 MB | 2020-03-30 20:56:36 |
|
Request_for_LTC_Services |
42.86 KB | 2020-03-30 20:56:44 |