Homebound Delivery Service

Residents of Jefferson Township, Wayne County, Indiana who are unable to visit the library due to a visual or physical impairment may register for this service by filling out this form. Please note that a valid library card is necessary for this service and may require the creation of a library account before service can begin.

Homebound Status is determined based on an inability to physically access the library due to visual or physical impairment, chronic illness, injury or convalescence.

Information obtained through this form is for program use only and is strictly confidential.

    Basic Information

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    Eligibility Certification

    This service is for homebound individuals only. Your status as such an individual must be certified by a professional.
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    Service Preferences

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    Interest Profile

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