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These web inquiry forms are not to be used for submitting a Survey & Certification Complaint Report or a Report of Abuse, Neglect or Exploitation.

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Division of Licensing and Protection
HC 2 South, 280 State Drive
Waterbury, VT 05671-2060
For Telecommunications Relay Service: Dial 711

Clayton Clark
Division Director
(802) 241-0345

Joe Nusbaum
Assistant Director Adult Protective Services
(802) 241-0512

Suzanne Leavitt
Assistant Director Survey and Certification
(802) 241-0480

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This is a Division of the
Department of Disabilities, Aging and Independent Living
under the Agency of Human Services