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Disabilities, Aging and Independent Living Division of Licensing and Protection

Adult Protective Services
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Tax Compliance Form

Wednesday, February 15, 2017 - 12:00

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tax-certification-form.pdf (8.64 KB)

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Assisted Living Residence Form Residential Care Home Therapeutic Care Home

Contact Us

Division of Licensing and Protection
HC 2 South, 280 State Drive
Waterbury, VT 05671-2060
(802) 241-0344

For Telecommunications Relay Service: Dial 711

Adult Protective Services Reporting Line
(800) 564-1612

Healthcare Organization Complaint Reporting Line
(888) 700-5330

Joe Nusbaum
Division Director

John Gordon
Adult Protective Services Director

Pamela Cota
Survey and Certification Director

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

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