Services & Programs
Disability Network Wayne County Detroit
Do you have a family member or loved one who is disabled? Do you have a disability-related question? Would you like to request information about our services and programs?
Name
*
First Name
Last Name
How can we help you?
*
I am disabled
I have family member who is disabled
Name of your family member who is disabled
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
example@example.com
I would like to request information about:
*
Referral
Employment & Job Readiness Services
Community Transition Services
Pre-Employment Transitional Services
Benefit Planning Counseling
Mobility Training & Safety
Housing Assistance
Healthy Living & Wellness Training
Other
Do you have a disability-related question?
How did you hear about us?
*
Website
Google Search
Radio Adverts
Facebook
Twitter
Instagram
YouTube
Newsletter
Email Campaigns
Billboard
Words of Mouth
Other
Submit
Should be Empty: