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 or mail, fax, or deliver to HCEOC.

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.