2022 Client Registration/Requalification Form
Please fill out this form to apply for SASS services in 2022. To learn more about our eligibility requirements visit the Eligibility page on our website.
This form is step 1 of the SASS client registration/requalifcation process. Once your submission has been received, a SASS staff member will follow-up with you directly to complete the registration process. If you have questions about registering or prefer to submit your paperwork in person, please call the office at (734) 429-4570 to schedule an appointment.