Departments

Youth Disability SURVEY

Please assist us with this survey so that we may try to assist your child(ren) in need of the services that we provide within our program. Your assistance is vital to the program. If your child is disabled and has a disability according to the Social Security Administration, we would like to know so we can assess the needs of children age 0 to 18.  We need this vital information to provide data for the administration to make a determination on coverage so we may be able to assist you.  If you have more than one child please complete one survey per child.   Nya:wëh for your time.

Please return the form below to:
Riley Torres, Administrative Assistant for Seneca Nation Disability Services

Mail: 12387 Rte 438 Irving, NY 14081
Call for pick up: 716-532-4900 Ext 5152
Or drop off in any office, use the mailboxes at each locations:
Allegany: 83 Wildwood Ave., Salamanca
Cattaraugus: 210 TIS Drive, Irving