Skip Ribbon Commands
Skip to main content
Senior Services : Referrals
 
Allegan County Senior Services
3255 122nd Ave.,
Ste. 200
Allegan, MI 49010
Phone: (269) 673-3333
Toll-free:
1-877-673-5333
Fax: (269) 673-0569

Facebook Facebook

Senior Referral Form

This form is for those who are age 60 and older and residents of Allegan County who would like to inquire or sign up for services provided by the senior millage. Currently, some of our services have wait lists. Submitting this form will place your name on the list for requested services, in the order received. As service units become available, you will be contacted; or you may call our office for more information.

 

Online Senior Referral Form