DIDD Cut Story
 
First Name
(of Story Teller): *
Last Name
(of Story Teller): *
Email Address: *
Street Address: *
City: *
State: *
Zip Code: *
Region: *
County: *
Day Phone: *
Evening Phone:
First Name
(of Family Member): *
Last Name
(of Family Member): *
 
Digital Photo (of Family Member):  [150x150 pixels]

Please Note: The maximum size of the digital file you can upload is 200 kilobytes. This is a standard security precaution to help us prevent denial-of-service attacks on the website, but the size should be large enough for any 150x150 photo of the family member. The digital photo is not required to successfully submit your story to us; however, if you do encounter difficulty uploading a photo, please Contact Us for help.
 
* Please provide a description of the
family member whose services have been cut:
* Please provide a short statement
describing your experience with the cut:
* Please describe the impact that
the cut services have had on you:
I give my permission to use the story as stated above in materials distributed to Tennessee Legislators for the purpose of educating them on family member needs & services. *
I give my permission to use family member's picture in materials distributed to Tennessee Legislators for the purpose of educating them on our needs for services. *
I give my permission to use both my story and family member's picture on The Arc Tennessee website for educating both legislators and the general public on the needs of people with intellectual disabilities (mental retardation). *
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