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DAIL Web Inquiry Form

The form below allows you to email the Department of Disabilities, Aging and Independent Living (DAIL) with your questions and concerns.

If you want to report a problem with the website, please send an email to the DAIL Webmaster at

The Department takes every inquiry and comment very seriously and asks that you fill out the form as completely as possible so your question or problem can be addressed.

Emails will be responded to in a timely manner.

Please note that the State offices are open for business Monday through Friday from 7:45 am to 4:30 pm except for Holidays, and are closed on the weekends.

Fields marked with the red * are a "required" field.

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.