Forms

Follow the links below to access each form.

Emergency Assistance Forms

COVID-19 Emergency Assistance Application/Referral Form

Yates County Emergency Funding Form

Employment Related Forms:

Apply for Pro Action Jobs

Senior Community Service Employment Program Form

Summer Youth Employment:

Online Form

Summer Youth Employment PDF Application

Program Referral Forms

Yates OFA Referral Form

Community Action Angels Request Form (formerly CHAMP)

Children and Families

Kids on Track Referral Form: Prenatal & Newborn

Kids on Track Referral Form: Child Older Than 3 Months

Family Resource Center Visitation Form

Weatherization/Energy Forms:

Weatherization Questionnaire

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