Volunteer Reporting Forms
One form should be completed for each month of service. Please complete and submit by the 4th of the following month.
To fill out an on-line hourly form, please click the matching link in the menu for your program; or you can download a printable version of the forms as listed below:
Please print and complete the appropriate form and submit to:
Area IV Agency on Aging and Community Action Programs
Attention: Chrissi Martin
P.O. Box 4727
Lafayette, IN 47903
Individual Volunteer Reporting Form (PDF)
Group Volunteers Reporting Form (PDF)
If you would like to fill out the forms and submit them online, please click here for individual volunteers or here for groups.
Note: You can include travel time to and from the destination you are volunteering.