Connecticut Department of Developmental Services (DDS) fax number

Fax destination details

Department

DDS Eligibility Unit

Purpose

Submitting the DDS Eligibility Application and related documentation to obtain eligibility for DDS services; DDS uses this fax number for sending and receiving eligibility-related materials.

Form

Eligibility Application — DDS Eligibility Application (DDSEligibilityApplication)

Address

DDS Eligibility Unit, 460 Capitol Avenue, Hartford, CT 06106

Voice phone

1-866-433-8192

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

Complete all required fields on the Eligibility Application, sign it, and send it with all required documents to DDS Eligibility Unit via mail or fax. Include HIPAA release, testing records, ID, and guardian information as applicable.

Official form instructions are published as a downloadable file on the organization's website.