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

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
An Adobe Acrobat file AAA_C1_APPLICATION_for_Meals_for_60_without_ADLs 235.2 KB 2020-03-27 10:13:59
An Adobe Acrobat file AAA_C2_APPLICATION_for_Meals_for_60_with_ADLs 164.73 KB 2020-05-13 15:28:43
An Adobe Acrobat file APPLICATION for COVID-19 Assistance 121.97 KB 2020-06-01 15:48:53
An Adobe Acrobat file CSBG APPLICATION for COVID-19 Assistance 388.84 KB 2020-05-05 10:49:50

 

ANNEX FORMS AND INFORMATION

 Please call 719-383-3100 if you need local assistance.  
Filename Size Date & Time
An Adobe Acrobat file Application_For_Public_Assistance 1.13 MB 2020-03-31 15:06:01
An Adobe Acrobat file Application_Info_Flyer 308.76 KB 2020-03-30 15:55:41
An Adobe Acrobat file Authorization_to_Release_Information 23.28 KB 2020-03-30 15:56:07
An Adobe Acrobat file Burial_Application 1.6 MB 2020-04-08 10:30:40
An Adobe Acrobat file Child_Support_Application_11-2019 439.24 KB 2020-03-30 15:56:18
An Adobe Acrobat file Child_Support_Services_Review_Request 1.02 MB 2020-03-31 15:05:24
An Adobe Acrobat file Food_Stamps_Change_Report_Form 3.17 MB 2020-03-30 15:56:36
An Adobe Acrobat file Request_for_LTC_Services 42.86 KB 2020-03-30 15:56:44
 

 

Additional forms and information will be added as we are able.  Thank you for your patience.