New Special Incident Report
(SIR) form
For your convenience, you can complete the SIR form electronically (Word form) and send it to SIR@nlacrc.org, or print out the PDF form, complete it in writing and fax it back to NLACRC at (818) 756-6475.
>> view the SIR form (Word format)
>> view the SIR form (PDF format)
>> view the Vendor Memo (PDF format)
How to become a service provider
NLACRC works with hundreds of highly skilled service providers
who provide community-based, person-centered services. These
providers are committed to our excellence in meeting the
needs of individuals with developmental disabilities, and
their families.
If you would like to receive more information on how you can become a NLACRC service provider, send us a message telling us about the type of service you'd like to provide.
>> send a message