Forms

Please see below for necessary forms and instructions pertaining to our programs. Return all forms using the below contact information.

808-961-2681 (office)
808-961-2812 (fax)
47 Rainbow Drive
Hilo, HI 96720

Senior Farmers Market Nutrition

2020 Senior Farmers Market Application
Email Ed at eyokoyama@hceoc.net or mail, fax, or deliver to HCEOC.

Mass Transit

Mass Transit General Application
Physician Certification
Consent Form
Email to Melissa at mnerida@hceoc.net or mail, fax, or deliver to HCEOC.

Emergency Crisis Intervention (ECI)

2021 ECI Application
Email Gail at liheapintake@hceoc.net. Appointment required.

Citric Acid Voucher

Citric Acid Voucher Request Form
Submit online or call HCEOC to request your voucher(s).

Weatherization Assistance Program (WAP)

WAP Application
Email Noel at nproctor@hceoc.net or mail, fax, or deliver to HCEOC.