You can use this form to verify your daily check in call, in the event you missed your 3 automated calls.  If you missed your automated call within an hour of your daily time frame, you can call 1-855-765-3148 to verify your call.  

We are also available by phone Monday through Friday 8 am -5 pm and Saturday 9 am -3 pm. During these hours, seniors can call toll-free 1-866-50-CHECK (1-866-502-0560). Please note, Senior Call Check phone lines and robocalls are closed New Year’s, Memorial Day, 4th of July, Labor Day, Thanksgiving and Christmas.

The form responses will be monitored daily between the hours of 8 am and 4 pm, excluding holidays.

 

Or, click this link: https://forms.gle/7sk67Qe1VpkyJJeE7​

You can use this form to pause your daily automated calls.  We are also available by phone Monday through Friday 8 am -5 pm and Saturday 9 am -3 pm. During these hours, seniors can call toll-free 1-866-50-CHECK (1-866-502-0560). Please note, Senior Call Check phone lines and robocalls are closed New Year’s, Memorial Day, 4th of July, Labor Day, Thanksgiving and Christmas.

Form responses are monitored weekdays between the hours of 8am and 4pm.

Please note that pauses can take 48-72 hours (2-3 days) to take effect.

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Or, click on this link: https://forms.gle/6KavpLR6n1MaJQZQA​​

You can use this form to change information about your account.  Examples include:

• Change the time frame you receive your call (please note, the time frame you select will take 48-72 hours to implement and will be implemented for the same time each day. Unfortunately, our system does not support different time frames each day.)
  
• Change your Alternate's contact information (i.e. name, phone number)
• Change your address
• Change your phone number 
• Change or add your email

We are also available by phone Monday through Friday 8 am -5 pm and Saturday 9 am -3 pm. During these hours, seniors can call toll-free 1-866-50-CHECK (1-866-502-0560). Please note, Senior Call Check phone lines and robocalls are closed New Year’s, Memorial Day, 4th of July, Labor Day, Thanksgiving and Christmas.

Form responses are monitored weekdays between the hours of 8am and 4pm.

Please note that changes can take 24-48 hours to take effect.​

Or, click this link: https://forms.gle/3J99yrxnxP5orh9u9​

You can use this form to request magnets, paper applications, and/or marketing materials.  We are also available by phone Monday through Friday 8 am -5 pm and Saturday 9 am -3 pm. During these hours, seniors can call toll-free 1-866-50-CHECK (1-866-502-0560). Please note, Senior Call Check phone lines and robocalls are closed New Year’s, Memorial Day, 4th of July, Labor Day, Thanksgiving and Christmas.

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Or, click this link: https://forms.gle/eh8omWjKCn5Cenvr6​

This form is intended to share a message with the management of the Senior Call Check program. If you would like someone to contact you regarding your concern, please indicate that in the feedback section and provide either a phone number or email address. 

We are also available by phone Monday through Friday 8 am -5 pm and Saturday 9 am -3 pm. During these hours, seniors can call toll-free 1-866-50-CHECK (1-866-502-0560). Please note, Senior Call Check phone lines and robocalls are closed New Year’s, Memorial Day, 4th of July, Labor Day, Thanksgiving and Christmas. 

 

Or, click this link: https://forms.gle/7VZ6fBUc91GNX4tcA​​