Disability Action Center - Voice Options Referral Form
Disability Action Center - Voice Options Referral Form
In addition to filling out and clicking submit on the form below, Please download the Voice Options Authorization form by clicking the button below. You will be instructed as to what to do with it once an advisors contacts you.
ATTENTION Please only fill out this form if you reside in the following counties in Northern California: Butte, Glenn, Tehama, Plumas, Siskiyou, Modoc, Shasta or Lassen.
