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Complete this form if you have a disability rights question or problem and wish to be contacted by an IPAS advocate.
Please complete as much information as possible. If you are not comfortable with completing this form or have difficulty completing this form, please contact our office at (800) 622-4845 or via TDD at (800) 838-1131 and ask for an Intake Specialist.
If you are contacting Indiana Protection and Advocacy Services about an individual with a disability other than yourself, we will ask you to have the individual contact us directly, unless you are:
I need help with my own disability rights issue.
Please provide the following information:
Notice: Please be advised that: