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Thank you for your interest in the RPV ADRC (Aging and Disability Resource Connection). Please provide the following information and provide a copy of proof of residency, such as a utility bill. Direct any questions to Administrative Analyst McKenzie Bright at email@example.com or (310) 544-5305.
Please provide a copy of proof of residency, such as a utility bill. If you have questions on uploading this document, please contact firstname.lastname@example.org or 310-544-5305.
Do you meet the requirements to be a member of the ADRC: are you are 65 years old or older and/or have a disability covered under the Americans with Disabilities Act?
This question may help the City apply for grants to help fund ADRC programs.
This field is not part of the form submission.
* indicates a required field