Online Form Submission


Lyon County Human Services Forms
This form is used by a Provider/Agency to refer a client to Lyon County Human Services (LCHS). Click on "Provider Referral Form" to submit your referral online. The information will be sent directly to LCHS, and a representative will contact the client at the earliest opportunity.
New or returning clients may request services using this form. The information will be sent directly to LCHS, and a representative will contact you at the earliest opportunity.
This survey form can be used for Dayton, Fernley or Silver Springs Senior Centers. The information will be sent directly to Lyon County Human Services. Please indicate if you wish to be contact concerning your input. 
Community Resource Directory Addition / Revision RequestTo request additions or report revisions to the Lyon County Human Services Community Resource Directory, complete and submit the Addition/Revision Request.


Lyon County Schools
McKinney-Vento Intake Affidavit
This form is used by the Lyon County School District to provide McKinney-Vento referrals to Lyon County Human Services.