Human Services Online Submission Forms

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

LCHS Community Resource Directory - Addition/Revision Request Form

  1. Lyon County - white background

  2. To request additions or report revisions to the Lyon County Human Services Community Resource Directory, complete and submit this Addition/Revision Request form.

  3. Type of Request:*

  4. Thank you for submitting this form to update the Community Resource Directory. Your request will be submitted for approval. Please email this completed form to Once your submission goes through the approval process, the change will be reflected on the online Lyon County Resource Community Resource Directory. Thank you for your commitment to serving our community with the most current and correct information.

  5. Approval:

  6. Leave This Blank:

  7. This field is not part of the form submission.