Submit To Become A Service Provider Below

Service Providers Directory Information Request Form:

this is for Service Providers NOT paid “hourly”. This is for “1099” Independent Contractor Service Providers who want to be paid with Self-Determination Program funds and other Disability-Ally Service Providers

Please only list services that are NOT Independent Facilitation. If you also provide Independent Facilitation Services (including Person-Centered Planning), fill out the Independent Facilitator Services Form separately.