Chicago 311

Submit Benefit Access Assistance - Disabilities Request

Location

Enter street address to search.
Long-click and hold on map pin, then drag to adjust location.

Photo

Description

* Are you under 60 years of age?

* Do you have a disability?

* Are you a City of Chicago resident?

* Are you a veteran?

* Are you an active duty military service officer?

Have you applied for the Benefit Access Assistance?

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Reporter

First name

Last name

Enter an email address to receive a tracking number

Phone

Enter as 999-999-9999

Benefit Access Assistance - Disabilities

This service request should be used to request assistance while applying, reapplying, or checking on a Benefit Access Application. This program is only available to people 59 years of age and under.

Instructions

Describe the issue you wish to report including a photo and/or a description.
* Indicates a required field.