Family Caregiver Application

Image with text "Aging Services Caregiver Support"

Caregivers, thank you for contacting Baltimore City Health Department Division of Aging and Community Support, National Family Caregiver Support Program for assistance with your caregiving responsibilities for your loved ones. 

The Division of Aging and Community Support is the primary program responsible for advocating for and delivering services to older adults, their families, and caregivers in the City of Baltimore. 

Enclosed you will find the forms needed to process your request for caregiver assistance. Please review the packet, carefully complete all forms, and return them to our office as soon as possible. Please note that all applications are based on a first come, first served basis and the availability of funds. 

The information contained in this application packet is legally privileged and confidential; it is intended for the use of this application only. 

If you need assistance with your grant application or other services, please contact me at (410) 396-1337 or 443-615-6233; email: jazmine.adams@baltimorecity.gov

Caregivers Grant Application: PDF icon 2024 Caregivers Grant Application (English)PDF icon 2024 Caregivers Grant Application (Spanish)