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Welcome to the official website of
Jefferson County
New York
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Downloadable Forms




Caregiver Services Quality Assurance Survey 

2025 Guide to Services

Current Menu

Respite Volunteer Application

Aging Needs Assessment

EISEP Intake Screening form

Home Delivered Meals Intake Table 

Home Modification & Chore Program Applicaiton 

Legal Services Intake Screening form

Community Meal Site Survey

Samaritan Summit Village and Samaritan Keep Home Application

Paratransit Application

Medicaid Application

Supplement A-Medicaid

Watertown Housing Authority Application

Assurance Wireless Application


Contact Info

  • Jefferson County New York
    175 Arsenal Street
    Watertown, NY 13601

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