How to Apply

Completed applications can be mailed, emailed, or faxed and returned to:

Iowa Family Support Network
1111 9th street, suite 320
Des Moines, IA 50314
Fax: 515-558-9994

Download the Children at Home Application Form »

A new application will be required at the beginning of each Fiscal Year, Fiscal Year runs July 1st – June 30th. All applications received after April 30th will be placed on a waitlist and processed as funding allows. Only services provided in the current fiscal year are eligible for payment or reimbursement.

Additional Documents

Children at Home Release of information

Respite Log

W-9 Tax form

Request for Funds (for additional items being requested)


Last Updated: Mar 19, 2019