The below form is a request for an application for services to be mailed to you. This is not an application to receive services. Each client must submit a fully completed application before eligibility for services is determined. If you would like to be screened by phone please contact the closest office location to you by using the below numbers.
To be screened for eligibility for services by phone contact:
Serving Leon, Jefferson, Wakulla, and Franklin Counties
Serving Gadsden, Liberty, Calhoun, and Jackson Counties
Serving Bay, Gulf, Holmes, and Washington Counties
FORT WALTON BEACH
Serving Okaloosa and Walton Counties
Serving Escambia and Santa Rosa Counties
A client or applicant has the right to file a complaint protesting an action taken by LSNF with this Client Grievance Form.