Reminder:  To be eligible for the Relative Respite Program, you must be 55 years of age or older; the child or children for whom you provide care must be under 18 years of age; and you must have primary responsibility for the care of the child or children.

All information and comments are confidential, however, the Relative Respite Program and the Caregiver Resource Center are both partially funded through the Division of Services for Aging and Adults with Physical Disabilities (DSAAPD).  Therefore, regardless of the age of the care recipient, we are required to share information provided in this application with DSAAPD.

Please note: 

*If you are providing care for more than one child, you should list them all on this application (questions 16 - 22).
*If you feel you need additional support in filling out this application, or if you have questions, you may call our office at 302-221-2087 or 302-221-2076.

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