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Application Process:
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Applicants or their representatives may contact the Community Options Unit for instructions
on how to be placed on the waiting list; Individuals will be contacted when a space is available;
Applicants who wish to apply for the ABI II waiver program must submit the Acquired Brain
Injury (ABI) Waiver Request Form (W-1130) to:
Attn: ABI Waiver, Department of Social Services, 55 Farmington Ave. 9th floor, Hartford, CT 06105
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The W-1130 Acquired Brain Injury Form can be found on the Department of Social Services
website under Applications and forms.
http://portal.ct.gov/DSS/Lists/Publications/Applications-and-Forms
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