If you are blind or seriously visually impaired and need this application in an alternative format, you may request one from your social services district.
For additional information regarding the types of formats available and how you can request an application in an alternative format, see the instruction book LDSSA , or www. Re-click the applications link at the top of the page. Applications Downloadable Forms.
Most recent month's pay stubs or a letter from employer Self Employment quarterly balance sheet Child Support and alimony verification Verification of Social Security SSI Disability and Pension benefits for household members Workers Compensation award letters Unemployment benefits receipts Resources of Household Members Bank and or Credit Union statements Stock and or Bond ownership verification Car registrations Real estate ownership verification Identity Driver's license, voter registration card, work or school ID card Residency Mortgage book, tax bill, rent receipt, lease.
NJ FamilyCare has some restrictions based on alien status and medical condition. Please see the njfamilycare. Income and asset limits apply but do vary based on what your living arrangement is; whether you live at home in the community alone or with others, or in an Assisted Living Facility, or a Long Term Care Facility or hospital. Elderly or disabled individuals unable to come to the office may also have another person, friend or relative called an Authorized Representative , come to the office and be interviewed on their behalf.
Block , County Administrator Hooper Ave. Home Accessibility Policy Privacy Policy. All Rights Reserved. Board of Commissioners. Read more Deputy Director Gerry P. Little Following 50 years of public service, Commissioner Gerry P. How to Apply. Medical Assistance Programs NJ.
Application Process.
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