Georgetown Township

contact@georgetown-mi.gov

1515 Baldwin St, PO Box 769, Jenison, MI, 49429-0769, US

616-457-2340

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You can fill in the document online and then click the print icon and all of your information will be populated in the printable document, saving you time later.

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This application for Homebound Delivery Services is to be filled out by the library patron, and requires certification from a physician, nurse, or social worker. Your physician, nurse, or social worker can be invited to sign via email when you finish your part of the application and click "Submit."

Your application will not be processed until it is certified.

By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.

Additional Signatures Required

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