Redetermination Forms

ELRC Region 5 is providing fillable PDF forms for families. The PDF forms below can be downloaded, filled out digitally, and sent back to the ELRC Region 5.

NOTE: You must download the form prior to filling it out.

For additional questions, please contact ELRC Region 5 at 412.350.3577 or email us at elrc5@alleghenycounty.us.