Independence Again Forms
Online Application
Paper Printable Application
Paper Printable Application
Online Form is above; you can call 888-417-0233 to see where you are in the application process or email App@IndependenceAgain.org.
Approvals are good for 30 days unless extended by the staff.
Paper Printable Application
Paper Printable Application
Paper Printable Application
To download a printable application, click above; You can fax to 931-401-4670, scan it in an email to App@IndependenceAgain.org, or mail it to P.O. BOX 2543 Cookeville, TN 38502-2543.
Approvals are good for 30 days unless extended by the staff.
Rent Assistant Request Form
Rent Assistant Request Form
Rent Assistant Request Form
Assistant is limited and approval is not guaranteed. If you feel at any time you will be unable to pay your rent on-time please complete this form in advance to avoid discharge or late fees.
Rx Form Women's Houses
Rent Assistant Request Form
Rent Assistant Request Form
Click the Picture to complete the Medication form any time your Rx changes, or if you take an Over-the-counter medication for longer than 3 days.
Rx Form Men's House
Release of Information Women's Houses
Release of Information Women's Houses
Click the Picture to complete the Medication form any time your Rx changes, or if you take an Over-the-counter medication for longer than 3 days.
Release of Information Women's Houses
Release of Information Women's Houses
Release of Information Women's Houses
Click the picture to complete the Independence Again Release of Information Form. *Staff may require a written signature.
Release of Information Men's House
Release of Information Women's Houses
Release of Information Men's House
Click the picture to complete the Independence Again Release of Information Form. *Staff may require a written signature.
Transportation Request Form
True Colors Personality Quiz
Transportation Request Form
Need Transportation to work, meeting, job interview, etc? Click the image above to make a request.
Lease Agreement
True Colors Personality Quiz
Transportation Request Form
Click the picture above to complete the Independence Again Lease Agreement Form.
True Colors Personality Quiz
True Colors Personality Quiz
True Colors Personality Quiz
Click the picture above to fill out the True Colors Personality Quiz Form.
Visitation Request Women's Houses
Visitation Request Women's Houses
Visitation Request Women's Houses
Need to schedule a visit for your family or friends? Click the above image to request a visit.
Visitation Request Men's House
Visitation Request Women's Houses
Visitation Request Women's Houses
Need to schedule a visit for your family or friends? Click the above image to request a visit.
Work Order Request
Visitation Request Women's Houses
Work Order Request
Is something broken or needing to be done? Click the image above to submit a Work Order for it.