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NOW ACCEPTING APPLICATIONS

Sabella Fae's Ausome Adventures

Safety Equiptment Request Application

Recipient Birthday
Month
Day
Year
Preferred Method(s) Of Contact
Does Recipient have an Autism diagnosis?
Level of supervision needed?
Low
Moderate
Constant
Is the recipient verbal, minimally verbal, or, non-verbal?
Verbal
Minimally Verbal
Non-Verbal
Does Recipient respond to their name when called aloud or spoken?
Yes
No
Has Recipient ever wandered or eloped?
Have they ever been found near water, roads, or other dangerous areas?
Yes
No
Does the Recipient currently have any safety devices or equipment?
Yes
No
Are any of the devices and/or equipment ineffective or no longer meeting their needs?
Yes
No
In the past 12 months, has Recipient received any prior safety support from another agency or program?
Yes
No
Does Recipient have Handicap tags and/or placard(s) due to their wandering or eloping?
Yes
No
No. Please provide me with more information concerning this in the state of Maryland.
Is this request urgent?
Yes
No
Is Recipient currently receiving any of the following assistance?
Does Recipient attend any of the following?
Does Recipient have any of the following currently active?
IFSP
504
IEP
Does financial hardship prevent your family from obtaining the requested item for Recipient?
Yes
No
Before signing and submitting this application I attest to the following:
I have read and agree to the Legal Policies, Terms of Use, and Liability Waiver.
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Thank you for applying.

Our mission is to help support Autistic individuals and their families by improving safety at home and in the community.


Please remember to share Sabella Fae's Ausome Adventures so that we can help as many individuals in need as possible.

Assistance Program Waitlist Notice

Applications for assistance are currently being accepted on a waitlist basis.

As applications are received, each submission will still undergo a thorough review. Applicants will receive either a Waitlist Approval Notice or a Denial Notice based on the information provided and current program capacity.

While our goal is to help every family that reaches out, available funding and resources are limited. As a result, priority must be given to the most vulnerable individuals and those facing the greatest safety risks. To help ensure assistance is directed where it is needed most, part of our review process may include evaluating medically documented records, professional recommendations, and other supporting documentation that helps demonstrate the severity of need.

Receiving a denial does not mean your family will never qualify for assistance. Circumstances can change, needs can increase, and new challenges can arise over time. If your loved one's situation changes and you continue to need assistance, we strongly encourage you to apply again in the future.

As the mother of an autistic child myself, I understand firsthand that progressions and regressions often occur in their own cycles. Needs that may not be urgent today can become critical tomorrow. For that reason, a denial today should never be viewed as a permanent decision.

Thank you for your understanding, your patience, and the trust you place in Sabella Fae's Ausome Adventures as we work to expand our ability to serve families throughout our community.

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