Call Today - (717) 394-5251

BECOME A MEMBER

HOME
ABOUT US
- Who We Are
- Our Programs
ADVOCACY/FAMILY SUPPORT REQUEST
RESOURCES
- Our Resources
- Request Rep-Payee Services
BLOG
EVENTS
SUPPORT
CONTACT

ADVOCACY/FAMILY SUPPORT REQUEST

ADVOCACY / FAMILY SUPPORT REQUEST

Advocacy Request

Person needing Advocacy/Family Support assistance

Person submitting the form

Relationship of person submitting form to person needing assistance

Email of person submitting Advocacy/Family Support intake

Email of contact person for Advocacy/Family Support intake

Address of contact person for Advocacy/Family Support intake

Phone

Does the person know you are contacting The Arc for help for them

YES

NO

What help you are requesting

Education Advocacy

Child non education Advocacy

Adult Advocacy

Transition (High School to Adult)

Life Change (Move, Waiver, etc)

Disability

Intellectual Disability

Autism

Other

Age of person needing Advocacy help

Briefly describe the Advocacy help needed

County where person who needs Advocacy/Family Support help lives

Lancaster County

Lebanon County

Other

School District if Educational Advocacy Needed

Name of Supports Coordinator (If known)

Supports Coordination Agency

What Waiver does the person have, if any?

Consolidated

Community Living

PFDS

Autism

Other

Are you working with anyone else on this issue?

Who referred you to The Arc?

Thank you for contacting us.

We will get back to you as soon as possible.

Oops, there was an error sending your message.
Please try again later.

NEWS & HAPPENINGS

July 2026 Newsletter

By Dana Henry • July 1, 2026

See the latest issue of The ArcLight!

Summer Pool Party

By Dana Henry • June 24, 2026

Join us for a Summer Pool Party! Thursday, August 6th 5:00-7:00 PM Registration Link: The Arc Lancaster Lebanon Pool Party Registration – Fill out form Register by Monday, August 3rd

Contact

116 W Airport Rd - Suite A
Lititz, PA 17543

(717) 394-5251

Email Us

info@thearclancleb.org

Menu

HOME
ABOUT US
- Who We Are
- Our Programs
ADVOCACY/FAMILY SUPPORT REQUEST
RESOURCES
- Our Resources
- Request Rep-Payee Services
BLOG
EVENTS
SUPPORT
CONTACT

Hours

Mon - Thu: 8:00 am - 3:30 pm
Friday: Appointment Only
Sat - Sun: Closed

© 2026

All Rights Reserved | The Arc Lancaster Lebanon - a Registered 501(c)3 Organization

Website & Hosting by RedX Web Design. Built with SovoWeb CMS.

Share by: