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Northwest Indiana Community Action - NWICA
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Forms

Can’t find what you’re looking for? Locate a staff member here or email us. 

Agreement Form for Email Communications
Change of Address
Client Acknowledgement of Receipt
employment application
Home Fall Risk Self Assessment
Individual Development Account Participant Application
NWICA Program Referral Form
Senior Companion and Foster Grandparent Volunteer Application
SHIP/Medicare Application
VITA Application
Voluntary Withdrawal
Withdrawal of email communications

Recent News

Stepping Into Safety: A Fall Prevention Fiesta

September 11, 2023

Falls can have serious consequences, but they are not an inevitable part of aging. NWICA

Read More »

Enter to Win 2 Free Tickets to The Reimagine!

August 29, 2023

NWICA is holding a giveaway for 2 free tickets to the 5th Annual Reimagine Conference!

Read More »
All News
Northwest Indiana Community Action - NWICA

Central Office

  • 5240 Fountain Drive Crown Point, IN 46307
  • Main Office: 219.794.1829
  • Toll-Free: 800.826.7871

Envisioning the people of Northwest Indiana flourishing regardless of income, ability, or age.

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