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State Council for Persons with Disabilities



The State Council for Persons with Disabilities assembled all our forms in one convenient location to make it easier for users to access.

What You'll Find Here

Brain Injury Related Forms

Application for Traumatic Brain Injury Fund Assistance
This page contains information on Delaware’s Traumatic Brain Injury Fund including links to 3 of the 5 documents required to submit an application for Traumatic Brain Injury Funds, information on the other 2 required documents, Submission information, a sample list of covered and non-covered services, eligibility requirements and contact information.

Brain Injury Survivor Story Submission
Use this page to access the online form to submit YOUR Traumatic Brain Injury story. If you are unable to use the Online submission form, the page also provides information on other options available to share your personal journey with other Delawareans to let them know that they are NOT alone and to learn from your lived experiences.

Parent/Player Concussion Information Form
This page provides a link to a printable version of the Parent/Player Concussion Information Form that is required by Delaware law for all non-scholastic athletic activity organization as listed in Title 16, Ch. 30L, §3003L. (8) of the Delaware Code. The page also provides parents important Concussion/mTBI information and Return to Play information.

Employment First Oversight Forms

Employment First Oversight Feedback Form
Access this page to provide feedback to Delaware’s Employment First Oversight Commission for comments on how well the public policy is working, identifying public officials able to address issues relating to the Jamie Wolfe Employment First Act and to route messages to the Commission for their response.

Employment First Oversight Success Story Submission
This page provides users access to an online form to submit their personal Employment First Oversight Success Story. It also provides users access to read other Employment Success Stories from the Employment First Oversight Commission (EFOC) left-hand side menu. Nothing promotes success like real-life stories of success. We are delighted to share stories of Delaware Residents who - despite their challenges - are competing successfully in the job market.

Mary Custis "Custie" Award Form

Mary Custis Straughn Award Nomination Form
This page provides users access to the Mary Custis Straughn (Custie) Online Award form to submit a nomination for a Delaware Advocate, Person who works in the Disability Services Provider field, Legislator, or state employee who in the past calendar year has risen above their colleagues to provide more than exemplary work or service for Delawareans with Disabilities. This page also provides access to “The Story Behind the Award,” and a list of “Past Recipients” dating back to 1993.

Request Forms

Deaf Child Sign Request
Use this page to access the State Council for Persons with Disabilities (SCPD), former Council on Deaf & Hard of Hearing Equality (CODHHE) Deaf Child Warning Sign request. The form also provides information on the State of Need, Criteria/Procedures, and an Online submission form that is also printable to enable someone to print it out and assist in its completion for submission as an email attachment to return to for processing.