Enrollment Form Submitted

Thank you for completing the Devices for Residents Enrollment Form!

Please allow up to 5 business days for the form to be processed. You will receive a follow-up message to the email you provided in the form that will include next steps.

Quantities are limited- an approved enrollment form does not guarantee you will receive a device. If approved, you will have until March 31 to pick up your device.

If you have any questions, please reach out to your agency sponsor.