CATHOLIC CHARITIES OF SOUTHERN NEVADA 2026

1. Click ‘Get Form’ to open the CATHOLIC CHARITIES OF SOUTHERN NEVADA Meals on Wheels Referral Application in the editor.
2. Begin by entering the date at the top of the form. This helps track when the referral was made.
3. In the 'ABOUT THE APPLICANT' section, fill in the applicant's first name, last name, middle initial, date of birth, phone number, housing complex/apartment name, address, and ZIP code.
4. Check the boxes to verify eligibility criteria: age (60+), residency in Las Vegas or North Las Vegas, and being homebound due to disability.
5. Answer questions regarding work status, previous Meals on Wheels service, living situation, military veteran status, and medical conditions that may affect mobility.
6. Provide information about any pets in the home and monthly income in the designated fields.
7. Complete the 'Information of person making referral' section with their name and contact details.
8. Once completed, save your document. You can then fax or email it directly to Catholic Charities using the provided contact information.

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