Official starting points
Forms, without the scavenger hunt
Find the agency that owns the form, see when No One Left Outside checked the link, and know what to expect before leaving this site.
We link to the official source.No One Left Outside does not receive or submit your application.
Opening a form does not confirm eligibility.Rules, funding, and availability can change.
94 results
- BenefitsOnline portal
Kentucky Benefits application portal
Owned by Kentucky Cabinet for Health and Family Services
Application mode: Online; Agency-assisted phone; In person
Stage: Initial application and existing-case management
Revision / edition: Unknown
What problem this helps solve
Official starting point for Medicaid, SNAP, KTAP, CCAP and related Kentucky benefit applications and case management.
Who completes this
Applicant or an authorized helper; each program's representative rules apply.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- kynect benefits
- Jurisdiction
- Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Health careInstructions page
Kentucky Medicaid member and application instructions
Owned by Kentucky Cabinet for Health and Family Services
Application mode: Online; Phone; In person; Paper where applicable
Stage: Apply, renew or manage Medicaid; select the person's actual task
Revision / edition: Unknown
What problem this helps solve
Current member instructions connect application, renewal, contact updates, language help and access-to-care concerns.
Who completes this
Applicant/member; MAP-14 or other recognized authority is needed when someone acts for the person.
What this does not prove
Do not infer a new application requirement from a general outreach notice. Follow the person's renewal/agency notice.
- Program
- Kentucky Medicaid
- Jurisdiction
- Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - IdentityOfficial form
Kentucky certified birth certificate application
Owned by Kentucky Office of Vital Statistics
Application mode: Print and mail; In person; Drop box; Authorized partner online/phone
Stage: Obtain a certified birth record
Revision / edition: Dec 20, 2023
What problem this helps solve
Signed request for a certified Kentucky birth record; the separate VS-41 pathway can request a homeless-status fee exemption.
Who completes this
Requestor who can provide the birth-event and return-address information; any authorization is subject to OVS requirements.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- Kentucky vital records
- Jurisdiction
- Kentucky
- Form number
- VS-37
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - HousingInstructions page
Louisville Metro housing information
Owned by Louisville Metro Government
Application mode: Use the official housing information page when it is accessible; follow the named program's intake route.
Stage: Choose the appropriate housing program before completing a form.
Revision / edition: Unknown
What problem this helps solve
An official local-government housing information destination; no direct application form is represented.
Who completes this
No public form is represented; confirm the appropriate route with Louisville Metro or a listed provider.
What this does not prove
Confirm the program and current intake instructions before completing or sending any housing paperwork.
- Program
- Louisville Metro Housing
- Jurisdiction
- Louisville Metro
- Form number
- Unknown / not established
- Role
- optional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Source check limited Sep 30, 2026
View detailsOfficial source page - BenefitsOfficial form
PROOF OF NO INCOME FOR LIHEAP
Owned by Louisville Metro Government
Application mode: Ask the LIHEAP office for the currently accepted support form and bring it to a confirmed appointment.
Stage: Prepare income or representative documentation after confirming an active LIHEAP component.
Revision / edition: Unknown
What problem this helps solve
An official Louisville-hosted form for a LIHEAP applicant reporting no income.
Who completes this
A Louisville LIHEAP applicant reporting no income, if the current program instructs them to use this edition.
What this does not prove
Current intake, funding, and accepted edition are UNKNOWN. The 2026 summer window has ended.
- Program
- Louisville LIHEAP
- Jurisdiction
- Jefferson County, Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Source check limited Sep 30, 2026
View detailsOfficial source page - BenefitsOfficial form
LIHEAP Designated Representative Form
Owned by Louisville Metro Office of Social Services
Application mode: Ask the LIHEAP office for the currently accepted support form and bring it to a confirmed appointment.
Stage: Prepare income or representative documentation after confirming an active LIHEAP component.
Revision / edition: Unknown
What problem this helps solve
The official Louisville document page for a LIHEAP designated-representative form attachment.
Who completes this
An applicant using a designated representative, if instructed by the current LIHEAP program.
What this does not prove
Current intake, funding, and accepted edition are UNKNOWN. The 2026 summer window has ended.
- Program
- Louisville LIHEAP
- Jurisdiction
- Jefferson County, Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Source check limited Sep 30, 2026
View detailsOfficial source page - HousingOfficial form
HUD-5383 Emergency Transfer Request
Owned by U.S. Department of Housing and Urban Development
Application mode: Obtain and complete the provider's emergency-transfer request process; Submit the HUD form to the covered housing provider using a safe communication route
Stage: Request an emergency transfer under the provider's VAWA Emergency Transfer Plan.
Revision / edition: Unknown
What problem this helps solve
HUD’s emergency-transfer request form for qualifying violence or abuse in covered housing programs.
Who completes this
A tenant or household member in a covered housing program requesting an emergency transfer under the form’s stated conditions.
What this does not prove
Use a safe contact method and the covered provider's VAWA Emergency Transfer Plan. A request does not promise an available unit.
- Program
- VAWA covered-housing protections
- Jurisdiction
- United States; covered housing programs
- Form number
- HUD-5383
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Disability and agingOfficial form
VA Disability Compensation and Related Benefits Application
Owned by Department of Veterans Affairs
Application mode: Online; Print and mail
Stage: Initial or increased compensation claim
Revision / edition: Jan 2026
What problem this helps solve
Signed initial/increased disability compensation claim with the current evidence notice; previously denied issues use decision-review pathways.
Who completes this
Veteran or VA-recognized representative as allowed.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- VA disability compensation
- Jurisdiction
- United States
- Form number
- 21-526EZ
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - LegalOfficial form
Expungement Certification Request
Owned by Kentucky Court of Justice
Application mode: Mail AOC-RU-009 and required payment; Use the official online certification system; Use the published AOC in-person certification route
Stage: Obtain certification, then separately file an eligible petition in the correct county court.
Revision / edition: Dec 2022
What problem this helps solve
The official mail-route request for an expungement certification—not the later expungement petition.
Who completes this
A person requesting Kentucky expungement certification by mail.
What this does not prove
Certification costs $40 and expires after 30 days. Certification and the later petition are separate; eligibility and outcome are case-specific.
- Program
- Kentucky expungement certification
- Jurisdiction
- Kentucky
- Form number
- AOC-RU-009
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Sep 30, 2026
View detailsOfficial source page - TransportationOnline portal
TARC3 Complementary ADA Paratransit Service Application
Owned by Transit Authority of River City
Application mode: First-time applicants and renewals: follow TARC's link to ADARide.com; Use ADARide application help for assistance with the current process; Without Internet: ADARide can help by phone and complete the application another way
Stage: Apply or renew under TARC's current ADARide eligibility process.
Revision / edition: Unknown
What problem this helps solve
TARC's current application and renewal starting page directs users to ADARide for TARC3 eligibility.
Who completes this
A new or recertifying TARC3 applicant. Follow the current ADARide process for any required professional verification.
What this does not prove
Apply through TARC's current ADARide route. Confirm document and assessment requirements with ADARide or the TARC3 eligibility office.
- Program
- TARC3 ADA paratransit
- Jurisdiction
- TARC ADA paratransit service area
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - HousingInstructions page
Any Door Kentucky homelessness resources
Owned by Kentucky Housing Corporation
Application mode: Identify the Any Door Kentucky lead agency for the county; Contact that lead agency for the coordinated-entry assessment
Stage: Find the correct coordinated-entry contact and request an assessment.
Revision / edition: Unknown
What problem this helps solve
KHC’s official regional-contact starting page for coordinated entry in Kentucky’s 118-county Balance of State.
Who completes this
No form is represented; a person may use the page to identify the regional contact for the covered county.
What this does not prove
An assessment is not a waitlist and does not confirm a referral. Jefferson and Fayette counties use separate routes.
- Program
- Any Door Kentucky Coordinated Entry System
- Jurisdiction
- Kentucky Balance of State; excludes Jefferson and Fayette counties
- Form number
- Unknown / not established
- Role
- optional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - HousingOnline portal
LMHA Applicant Portal
Owned by Louisville Metro Housing Authority
Application mode: Existing applicants: use Applicant Login; Existing residents: use Resident Login; For waitlist contact updates, use the portal's published phone route
Stage: Manage an existing LMHA applicant or resident record; check current notices before attempting a new application.
Revision / edition: Unknown
What problem this helps solve
LMHA’s official applicant portal for current list notices and applicant access.
Who completes this
An applicant using a current LMHA notice or managing an existing applicant account.
What this does not prove
Check the portal's current notice. The September 30, 2026 notice said new Section 8 and public-housing applications were closed; future opening dates are UNKNOWN.
- Program
- LMHA public and assisted housing notices
- Jurisdiction
- Jefferson County, Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Sep 30, 2026
View detailsOfficial source page - LegalOfficial directory
Kentucky Court of Justice Legal Forms Directory
Owned by Kentucky Court of Justice
Application mode: Find the appropriate court form in the official directory; Use an available guided interview; Print and file with the correct Circuit Court Clerk
Stage: Choose the correct case-specific court form and filing route.
Revision / edition: Unknown
What problem this helps solve
The live official directory for Kentucky court forms, including forcible-detainer and protective-order records.
Who completes this
Use the directory to match an exact form number or language; seek qualified help for case-specific legal advice.
What this does not prove
A form directory is not legal advice or proof that a particular form is appropriate for a case.
- Program
- Kentucky court forms
- Jurisdiction
- Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - BenefitsInstructions page
Louisville LIHEAP program instructions
Owned by Louisville Metro Office of Social Services
Application mode: Read the appointment instructions and call 502-991-8391 to confirm a currently active component.
Stage: Confirm intake before gathering and signing LIHEAP support documents.
Revision / edition: May 22, 2026
What problem this helps solve
Louisville Metro’s official landing page for LIHEAP components and current intake instructions.
Who completes this
No form is represented; use the live page to confirm whether a current component provides an intake route.
What this does not prove
The published August 3–September 11, 2026 summer window has ended. Next intake and funding are UNKNOWN.
- Program
- Louisville LIHEAP
- Jurisdiction
- Jefferson County, Kentucky
- Form number
- Unknown / not established
- Role
- optional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Source check limited Sep 30, 2026
View detailsOfficial source page - BenefitsInstructions page
LG&E and KU Assistance Programs
Owned by LG&E and KU
Application mode: Use the utility's assistance directory; Contact the listed partner for program eligibility and intake
Stage: Choose assistance and separately contact the utility about the account.
Revision / edition: Unknown
What problem this helps solve
The utility’s official starting page for account options, outside assistance, and WeCare.
Who completes this
An account holder or authorized person following the current route for the relevant option.
What this does not prove
Outside organizations decide assistance eligibility and funding; this page does not establish either.
- Program
- Utility account and assistance starting routes
- Jurisdiction
- LG&E and KU service areas
- Form number
- Unknown / not established
- Role
- optional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Disability and agingOnline portal
Social Security Disability Insurance application route
Owned by Social Security Administration
Application mode: Online; Phone; In person
Stage: Initial adult SSDI application
Revision / edition: Unknown
What problem this helps solve
Adult SSDI online application instructions and phone/local-office alternatives with an evidence checklist.
Who completes this
Adult applicant; ask SSA about an authorized helper if needed.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- SSDI
- Jurisdiction
- United States
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Disability and agingInstructions page
Social Security appeal stages and instructions
Owned by Social Security Administration
Application mode: Online stage-specific process; Paper where directed; Phone help
Stage: Select reconsideration, hearing, Appeals Council or later court review
Revision / edition: Unknown
What problem this helps solve
Choose the appeal stage from the decision notice before selecting a form.
Who completes this
Claimant or recognized representative.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- SSI and SSDI appeals
- Jurisdiction
- United States
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Family and careInstructions page
Social Security representative payee application process
Owned by Social Security Administration
Application mode: Agency interview; SSA-directed form
Stage: Request SSA selection as representative payee
Revision / edition: Unknown
What problem this helps solve
Ask SSA to consider selection as payee for someone unable to manage benefits; SSA determines appointment.
Who completes this
Prospective payee, with SSA interview and identity proof.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- Representative Payee Program
- Jurisdiction
- United States
- Form number
- SSA-11
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - TransportationInstructions page
TARC Fare Structure
Owned by Transit Authority of River City
Application mode: Review the official fare structure; Ask about a reduced-fare Photo ID MyTARC card at the published TARC location
Stage: Choose a payment method and, if applicable, document reduced-fare eligibility.
Revision / edition: Unknown
What problem this helps solve
TARC’s official page for current base and reduced-fare information.
Who completes this
No form is represented; riders use the page to check current fare and reduced-fare routes.
What this does not prove
Fares are date-labeled and should be rechecked before relying on them; this page does not confirm reduced-fare eligibility.
- Program
- TARC fares and reduced-fare information
- Jurisdiction
- TARC service area
- Form number
- Unknown / not established
- Role
- optional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Health careInstructions page
Kentucky Medicaid non-emergency medical transportation
Owned by Kentucky Cabinet for Health and Family Services
Application mode: Find the broker for your county; Call the regional broker to schedule an eligible trip
Stage: Confirm medical-transportation eligibility and reserve the trip.
Revision / edition: Unknown
What problem this helps solve
Kentucky Medicaid’s official regional-broker starting page for qualifying covered trips.
Who completes this
A Medicaid member or authorized helper contacting the applicable regional route.
What this does not prove
The page does not confirm member eligibility, a trip, broker assignment, seat, pickup, or reservation window.
- Program
- Medicaid NEMT / Human Service Transportation Delivery
- Jurisdiction
- Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Disability and agingOfficial form
Authorization to Disclose Information to Social Security
Owned by Social Security Administration
Application mode: Print/sign; SSA-directed electronic process
Stage: Authorize evidence disclosure for a disability claim/appeal
Revision / edition: Jun 2024
What problem this helps solve
Consent for medical, education and other evidence disclosure to SSA; separate from an application or appeal request.
Who completes this
Subject of records or authorized signer permitted by the form.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- SSI and SSDI disability evidence
- Jurisdiction
- United States
- Form number
- SSA-827
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Disability and agingOfficial form
Social Security Disability Report — Appeal
Owned by Social Security Administration
Application mode: Online; Paper with appeal
Stage: Update disability evidence during appeal
Revision / edition: Jul 2026
What problem this helps solve
Update disability, treatment, daily activities, work and education information for an appeal.
Who completes this
Claimant or helper who knows the person's updated information; report-completer information does not itself grant representation.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- SSI and SSDI disability appeal
- Jurisdiction
- United States
- Form number
- SSA-3441
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Disability and agingOnline portal
Supplemental Security Income application route
Owned by Social Security Administration
Application mode: Official online starting point; Phone; Agency-assisted intake
Stage: Initial SSI application
Revision / edition: Unknown
What problem this helps solve
Official SSI starting point plus agency help for situation-specific intake and evidence.
Who completes this
Applicant; adult/child and representative circumstances require SSA guidance.
What this does not prove
Use SSA help when the online route does not fit; do not infer eligibility from an older online rollout announcement.
- Program
- SSI
- Jurisdiction
- United States
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Source check limited Sep 30, 2026
View detailsOfficial source page - Disability and agingOfficial form
Social Security Claimant's Appointment of a Representative
Owned by Social Security Administration
Application mode: Electronic with representative; Print and mail/fax; In person
Stage: Appoint a representative in a pending claim/appeal
Revision / edition: Dec 2024
What problem this helps solve
Appoint a qualified attorney or nonattorney representative for a pending SSA claim or appeal.
Who completes this
Claimant and chosen representative; representative starts electronic appointment when using that method.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- Representation in Social Security claims
- Jurisdiction
- United States
- Form number
- SSA-1696
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Health careOfficial form
Kentucky Application for Medicaid or Medicare Savings Programs
Owned by Kentucky Cabinet for Health and Family Services
Application mode: Print; Local DCBS; Fax where instructed
Stage: Program-specific Medicaid/MSP paper intake
Revision / edition: Mar 2024
What problem this helps solve
Paper application covering specified Medicaid and Medicare Savings contexts; select the correct program with DCBS.
Who completes this
Applicant or recognized authorized representative.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- Medicaid and Medicare Savings Programs
- Jurisdiction
- Kentucky
- Form number
- MAP-205
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Disability and agingOfficial form
Social Security Request for Reconsideration
Owned by Social Security Administration
Application mode: Online; Print and mail; In person
Stage: Reconsideration after an initial determination
Revision / edition: Aug 2025
What problem this helps solve
Request review of an initial determination at the reconsideration stage; the notice determines the correct route.
Who completes this
Claimant or recognized representative.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- Social Security appeal
- Jurisdiction
- United States
- Form number
- SSA-561
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Disability and agingOfficial form
Social Security Request for Hearing by Administrative Law Judge
Owned by Social Security Administration
Application mode: Online; Upload; Print and mail; In person
Stage: Hearing after reconsideration
Revision / edition: Jun 2022
What problem this helps solve
Request a hearing after reconsideration; follow the decision notice and the appropriate medical or nonmedical pathway.
Who completes this
Claimant or recognized representative.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- Social Security appeal
- Jurisdiction
- United States
- Form number
- HA-501
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - IdentityInstructions page
USPS General Delivery instructions
Owned by United States Postal Service
Application mode: Local Post Office arrangement
Stage: Arrange temporary mail receipt
Revision / edition: Unknown
What problem this helps solve
Temporary mail-receiving route for people without a permanent address, subject to the destination Post Office's instructions.
Who completes this
Mail recipient arranging service with the destination Post Office.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- General Delivery
- Jurisdiction
- United States; Post Office availability must be confirmed
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - IdentityInstructions page
Internet Access Card
Owned by Louisville Free Public Library
Application mode: Ask in person at an LFPL location for an Internet Access Card; Ask about public-computer use and available instruction
Stage: Obtain computer access before using an outside agency's form or portal.
Revision / edition: Unknown
What problem this helps solve
LFPL publishes Internet Access Cards for individuals age 18 or older who only need to use public computers. Ask the branch about requirements for this limited card.
Who completes this
The person needing computer access asks at an LFPL location. The online full-card application is a separate route.
What this does not prove
The published age floor is 18. Workstation availability and the limited-card identification requirements must be confirmed with LFPL.
- Program
- Library cards
- Jurisdiction
- Louisville/Jefferson County, Kentucky
- Form number
- Unknown / not established
- Role
- optional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - BenefitsOfficial form
Kentucky Application for SNAP
Owned by Kentucky Cabinet for Health and Family Services
Application mode: Paper mail/fax; In person; Online alternative; Phone alternative
Stage: SNAP initial filing followed by interview
Revision / edition: Oct 2018
What problem this helps solve
Paper SNAP application and interview instructions, including help when verification documents are missing.
Who completes this
Applicant or program-recognized authorized representative; head of household or representative completes an interview.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- SNAP
- Jurisdiction
- Kentucky
- Form number
- FS-1
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Sep 30, 2026
View detailsOfficial source page - Health careOfficial form
Kentucky Medicaid Authorized Representative
Owned by Kentucky Cabinet for Health and Family Services
Application mode: Print and sign; Agency-directed submission
Stage: Authorize application, changes, recertification and/or notice copies
Revision / edition: Oct 2021
What problem this helps solve
Authorize a named helper for selected Medicaid tasks and notices.
Who completes this
Applicant/member and chosen authorized representative.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- Kentucky Medicaid
- Jurisdiction
- Kentucky
- Form number
- MAP-14
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Disability and agingInstructions page
Kentucky HCBS waiver application instructions
Owned by Kentucky Cabinet for Health and Family Services
Application mode: Online; DCBS phone for Medicaid; In-person ADRC/CMHC for waiver
Stage: Apply for Medicaid support and a separate waiver determination
Revision / edition: Jan 13, 2026
What problem this helps solve
Separate Medicaid and waiver steps with current waiver-specific evidence and assisted intake routes.
Who completes this
Applicant/helper with Medicaid staff and waiver intake assistance; clinical evidence must come from appropriate sources.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- 1915(c) HCBS waivers
- Jurisdiction
- Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Disability and agingSupporting document
Kentucky Waiver Services Physician's Recommendation
Owned by Kentucky Cabinet for Health and Family Services
Application mode: Practitioner-completed paper support
Stage: Clinical evidence before waiver review
Revision / edition: Jun 2015
What problem this helps solve
Clinical recommendation supplied by an eligible practitioner for waiver processes that require MAP-10.
Who completes this
Authorized practitioner for the selected waiver; applicant/helper arranges the request.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- HCBS waiver clinical support
- Jurisdiction
- Kentucky
- Form number
- MAP-10
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Sep 30, 2026
View detailsOfficial source page - Health careInstructions page
Kentucky KCHIP application and renewal instructions
Owned by Kentucky Cabinet for Health and Family Services
Application mode: Online; In person; Notice-directed renewal; Phone assistance
Stage: Apply or renew a child's coverage
Revision / edition: Unknown
What problem this helps solve
Apply through kynect or local DCBS, obtain document help and follow the child's renewal notice.
Who completes this
Child's parent/caregiver or recognized representative; agency confirms authority.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- Kentucky Children's Health Insurance Program
- Jurisdiction
- Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - IdentityInstructions page
Kentucky identification card application instructions
Owned by Kentucky Transportation Cabinet
Application mode: In person; Optional pre-application; Eligible renewal/replacement online/mail
Stage: Select first issuance, replacement, renewal or REAL ID upgrade
Revision / edition: Unknown
What problem this helps solve
First ID issuance, current account options, document requirements and fee-specific assistance routes.
Who completes this
Applicant; guardian presence/consent applies to minors under agency rules.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- Kentucky personal ID
- Jurisdiction
- Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - IdentityOfficial form
Kentucky adult applicant without an established nighttime residence
Owned by Kentucky Transportation Cabinet
Application mode: Agency-attested paper; In-person credential visit
Stage: Resolve residency evidence for eligible standard credential task
Revision / edition: Jul 2026
What problem this helps solve
Agency attestation and approved mailing-address support for specified standard ID/license tasks.
Who completes this
Applicant and attesting shelter/treatment/service organization official.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- Homeless or temporary-shelter ID/residency process
- Jurisdiction
- Kentucky
- Form number
- TC94-199
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - IdentityOfficial form
Application for a Social Security Card
Owned by Social Security Administration
Application mode: Print and mail; In person; Eligible online replacement
Stage: Original, replacement or record correction
Revision / edition: Dec 2024
What problem this helps solve
Free original, replacement or correction application with original/certified evidence and specific signing rules.
Who completes this
Capable adult signs their own application; permitted parent/guardian/relative rules depend on age/ability and authority evidence.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- Social Security number/card
- Jurisdiction
- United States
- Form number
- SS-5
- Role
- conditional
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - IdentitySupporting document
Kentucky homeless-status affidavit for a fee-exempt birth record
Owned by Kentucky Office of Vital Statistics
Application mode: Provider-completed affidavit; Print and mail packet
Stage: Request birth-record fee exemption
Revision / edition: Dec 2025
What problem this helps solve
Provider-assisted affidavit and mailed packet requesting one fee-exempt certified birth record for a qualified Kentucky-born person.
Who completes this
Authorized homeless-services provider or designated education/college financial-aid official with knowledge of status; requester must be lawfully entitled.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- Fee-exempt Kentucky birth record
- Jurisdiction
- Kentucky
- Form number
- VS-41
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - IdentityOfficial form
Kentucky certified death certificate application
Owned by Kentucky Office of Vital Statistics
Application mode: Print and mail; In person; Drop box; Authorized partner
Stage: Obtain certified Kentucky death record
Revision / edition: Dec 20, 2023
What problem this helps solve
Request a certified record of a Kentucky death since1911 for identity, estate or benefit documentation needs.
Who completes this
Requestor with required event and return-address information.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- Kentucky vital records
- Jurisdiction
- Kentucky
- Form number
- VS-31
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - IdentityOfficial form
Kentucky certified marriage or divorce certificate application
Owned by Kentucky Office of Vital Statistics
Application mode: Print and mail; In person; Drop box; Authorized partner
Stage: Obtain certified marriage/divorce event record
Revision / edition: Dec 20, 2023
What problem this helps solve
Request a certified Kentucky marriage/divorce event record sinceJune1958; distinguish this certificate from a license or decree.
Who completes this
Requestor with required event and return-address information.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- Kentucky vital records
- Jurisdiction
- Kentucky
- Form number
- VS-230
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Sep 30, 2026
View detailsOfficial source page - Family and careOnline portal
Kentucky Child Care Assistance Program application route
Owned by Kentucky Cabinet for Health and Family Services
Application mode: Online; DCBS-assisted intake
Stage: Apply for childcare assistance
Revision / edition: Unknown
What problem this helps solve
Request childcare cost assistance through kynect or DCBS and obtain help with provider/household requirements.
Who completes this
Parent/caregiver or recognized representative.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- CCAP
- Jurisdiction
- Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - BenefitsOfficial form
Kentucky Intent to Apply for KTAP, Medicaid, State Supplementation or Child Care Assistance
Owned by Kentucky Cabinet for Health and Family Services
Application mode: Print and mail; In person
Stage: Initial intent followed by interview
Revision / edition: Sep 2022
What problem this helps solve
Signed intent begins the DCBS interview process; it is not a complete universal benefit application.
Who completes this
Applicant or helper; a proposed representative needs separate DCBS authorization.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- DCBS initial benefit intake
- Jurisdiction
- Kentucky
- Form number
- PA-77
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Sep 30, 2026
View detailsOfficial source page - Family and careInstructions page
Kentucky WIC application appointment instructions
Owned by Kentucky Cabinet for Health and Family Services
Application mode: Clinic-assisted appointment
Stage: WIC application and screening
Revision / edition: Unknown
What problem this helps solve
Contact a local WIC clinic for application, document review and nutrition/health screening.
Who completes this
Applicant/caregiver and local WIC staff.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- WIC
- Jurisdiction
- Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Sep 30, 2026
View detailsOfficial source page - Family and careInstructions page
Kentucky caregiver support intake instructions
Owned by Kentucky Cabinet for Health and Family Services
Application mode: Staff-assisted local intake
Stage: Select caregiver service or conditional financial support
Revision / edition: Unknown
What problem this helps solve
Ask local aging staff which caregiver information, training, respite or grandparent-support program fits.
Who completes this
Caregiver with local AAAIL staff.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- National Family Caregiver and Kentucky Family Caregiver programs
- Jurisdiction
- Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Family and careInstructions page
Kentucky kinship caregiver support instructions
Owned by Kentucky Cabinet for Health and Family Services
Application mode: Phone intake; Program-specific application
Stage: Identify kinship supports and benefit application
Revision / edition: Unknown
What problem this helps solve
Connect a relative caregiver with placement-specific support and the separate family-benefit application routes.
Who completes this
Relative caregiver with kinship/DCBS staff; legal placement status matters.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- KY FACES Kinship Supports
- Jurisdiction
- Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Family and careInstructions page
Kentucky child support application and services
Owned by Kentucky Office of Attorney General, Department of Child Support Services
Application mode: Interactive application; Print/mail; Local office
Stage: Apply for child support services or follow KTAP referral
Revision / edition: Unknown
What problem this helps solve
Current agency intake for child support establishment/enforcement; KTAP referrals and non-KTAP applications differ.
Who completes this
Applicant/custodial party with child support staff; KTAP cases are referred by caseworker.
What this does not prove
Submit to the responsible local child support office; a payment mailing address is not an application destination.
- Program
- Child support services
- Jurisdiction
- Kentucky
- Form number
- CS-33; related CS-11
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Sep 30, 2026
View detailsOfficial source page - Employment and educationInstructions page
Kentucky unemployment insurance application instructions
Owned by Kentucky Education and Labor Cabinet, Kentucky Career Center
Application mode: Official online claim; Staff assistance
Stage: Initial UI claim; appeal and recurring certification are separate
Revision / edition: Unknown
What problem this helps solve
Prepare employment and identity details and use Kentucky Career Center's current initial-claim instructions.
Who completes this
Unemployed claimant; help staff may assist within account/identity rules.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- Unemployment Insurance
- Jurisdiction
- Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Employment and educationInstructions page
Kentucky adult education and GED intake instructions
Owned by Kentucky Adult Education
Application mode: Local staff intake; GED.com testing
Stage: Enroll, prepare and schedule GED testing
Revision / edition: Unknown
What problem this helps solve
Use local adult education staff for enrollment, readiness preparation, testing account help and accommodation requests.
Who completes this
Learner with county adult education staff; testing accommodations may involve qualified documentation.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- Adult Education and GED
- Jurisdiction
- Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Employment and educationInstructions page
Kentucky FAFSA application support —2026–2027
Owned by Federal Student Aid; Kentucky Higher Education Assistance Authority
Application mode: Online FAFSA; Financial-aid-office help
Stage: Prepare and submit correct school-year FAFSA
Revision / edition: Unknown
What problem this helps solve
Year-specific official guidance for student/contributor accounts, consent and financial-aid-office help.
Who completes this
Student and each required contributor using their own account; aid office determines unusual circumstance handling.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- FAFSA and Kentucky student aid
- Jurisdiction
- United States application with Kentucky assistance
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Sep 30, 2026
View detailsOfficial source page - Health careOfficial form
UK HealthCare Financial Assistance Application
Owned by UK HealthCare
Application mode: Print/mail; MyChart upload; Secure fax
Stage: Hospital financial-assistance review
Revision / edition: Jul 2026
What problem this helps solve
Current signed hospital-assistance application with separate document and no-income verification steps.
Who completes this
Patient and applicable spouse/parent/legal guardian; supporting non-household person completes no-income verification when relevant.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- Hospital financial assistance
- Jurisdiction
- UK HealthCare facilities in Kentucky; confirm treating location
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Health careSupporting document
UK HealthCare Proof of No Income and Living Expense Statement
Owned by UK HealthCare
Application mode: Print/sign; Include with hospital packet
Stage: Conditional replacement/support for income proof
Revision / edition: Jul 2024
What problem this helps solve
Conditional bilingual attestation when ordinary income proof is unavailable or a non-household person pays living expenses.
Who completes this
Patient/spouse/representative PartA; non-household supporting person completes applicable verification.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- Hospital financial-assistance supporting evidence
- Jurisdiction
- UK HealthCare financial-assistance applicants in Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Health careOfficial form
Baptist Health Financial Assistance Application
Owned by Baptist Health
Application mode: Print/mail; Local financial counselor
Stage: Hospital financial-assistance review
Revision / edition: Unknown
What problem this helps solve
Signed hospital-assistance disclosure plus tax, income/resource and Medicaid-related verification; submit to treating hospital.
Who completes this
Patient/applicant with household/guarantor information; financial counselor assists.
What this does not prove
Official instructions and the person's notice control; an application is not an eligibility or approval decision.
- Program
- Hospital financial assistance
- Jurisdiction
- Baptist Health hospitals in Kentucky; treating location controls
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Sep 30, 2026
View detailsOfficial source page - Health careOfficial form
Kentucky Medicaid Managed Care Organization Dispute Form
Owned by Kentucky Cabinet for Health and Family Services
Application mode: Print/mail; Email; Fax
Stage: DMS dispute escalation after MCO process
Revision / edition: Sep 25, 2025
What problem this helps solve
DMS escalation after using the member/provider MCO grievance or appeal process; requires tracking information.
Who completes this
Member/provider or properly authorized helper. The form asks for both provider and member information; askDMS how to handle unavailable fields.
What this does not prove
Follow the person's time-sensitive MCO appeal notice. Confirm the currently accepted DMS packet before use; this public copy does not replace the initial MCO appeal process.
- Program
- Medicaid MCO dispute resolution
- Jurisdiction
- Kentucky
- Form number
- MCO Dispute Form
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Sep 30, 2026
View detailsOfficial source page - Disability and agingSupporting document
Social Security Disability Report — Adult
Owned by Social Security Administration
Application mode: Paper report; Online claim when applicable; Agency-assisted completion
Stage: Initial adult disability report
Revision / edition: Jun 2024
What problem this helps solve
Initial adult disability evidence report identifying condition, treatment, medicines, work/education and people who can help.
Who completes this
Claimant or knowledgeable friend/family helper. Form expressly says not to ask healthcare provider to complete it.
What this does not prove
Follow the requesting agency and notice; evidence report alone is not an application, appeal or approval.
- Program
- SSI and SSDI disability evidence
- Jurisdiction
- United States
- Form number
- SSA-3368-BK
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Sep 30, 2026
View detailsOfficial source page - Disability and agingSupporting document
Social Security Work History Report
Owned by Social Security Administration
Application mode: Paper report; Requesting-office assistance
Stage: Requested work-history evidence
Revision / edition: Jul 2026
What problem this helps solve
Describe jobs and their physical/mental requirements in the five years before inability to work, when disability staff request it.
Who completes this
Claimant or knowledgeable helper, with completed-report identity/date fields.
What this does not prove
Follow the requesting agency and notice; evidence report alone is not an application, appeal or approval.
- Program
- SSI and SSDI disability evidence
- Jurisdiction
- United States
- Form number
- SSA-3369-BK
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Sep 30, 2026
View detailsOfficial source page - Disability and agingSupporting document
Social Security Function Report — Adult
Owned by Social Security Administration
Application mode: Paper report; Requesting-office assistance
Stage: Requested claimant functional evidence
Revision / edition: Aug 2026
What problem this helps solve
Claimant account of daily activities and abilities requested for disability review.
Who completes this
Claimant or helper reporting claimant's activities; form says not doctor/hospital.
What this does not prove
Follow the requesting agency and notice; evidence report alone is not an application, appeal or approval.
- Program
- SSI and SSDI disability evidence
- Jurisdiction
- United States
- Form number
- SSA-3373-BK
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Disability and agingSupporting document
Social Security Function Report — Adult, Third Party
Owned by Social Security Administration
Application mode: Third-party paper report; Requesting-office help
Stage: Requested third-party functional evidence
Revision / edition: Aug 2026
What problem this helps solve
A third party describes their own knowledge of the claimant's daily activities and abilities.
Who completes this
Third party with direct knowledge. Form expressly says not to ask the claimant to provide the answers or ask doctor/hospital to complete it.
What this does not prove
Follow the requesting agency and notice; evidence report alone is not an application, appeal or approval.
- Program
- SSI and SSDI disability evidence
- Jurisdiction
- United States
- Form number
- SSA-3380-BK
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Sep 30, 2026
View detailsOfficial source page - Disability and agingOfficial form
Social Security Request for Review of Hearing Decision/Order
Owned by Social Security Administration
Application mode: Online; Print/mail; Local SSA office
Stage: Appeals Council review after ALJ action
Revision / edition: Sep 2026
What problem this helps solve
Request Appeals Council review after an Administrative Law Judge decision or dismissal.
Who completes this
Claimant or authorized filer; representative section when applicable.
What this does not prove
Follow decision notice's deadline and appeal rights; do not use for objecting to a recommended decision.
- Program
- Social Security Appeals Council review
- Jurisdiction
- United States
- Form number
- HA-520
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Disability and agingOfficial form
Social Security Request for Waiver of Overpayment Recovery
Owned by Social Security Administration
Application mode: Signed-in form/upload; Paper fax/mail; Agency assistance
Stage: Request overpayment repayment waiver
Revision / edition: Jun 2025
What problem this helps solve
Ask SSA whether repayment can be waived for lack of fault and hardship/unfairness; distinguish this from disputing debt or changing repayment rate.
Who completes this
Overpaid person/helper; child/legal-guardian signature rules differ. Financial authorization for capable adult requires their signature even with representative payee.
What this does not prove
A waiver is distinct from disagreeing with overpayment amount or requesting a smaller monthly recovery.
- Program
- Social Security overpayment waiver
- Jurisdiction
- United States
- Form number
- SSA-632-BK
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Disability and agingOfficial form
Social Security Request for Change in Overpayment Recovery Rate
Owned by Social Security Administration
Application mode: Paper/local SSA; Agency assistance
Stage: Request lower monthly repayment/withholding
Revision / edition: Dec 2023
What problem this helps solve
Request an affordable withholding/repayment rate where current recovery prevents necessary living expenses.
Who completes this
Overpaid person or helper with indicated relationship; agency confirms authority.
What this does not prove
Follow the requesting agency and notice; evidence report alone is not an application, appeal or approval.
- Program
- Social Security overpayment repayment
- Jurisdiction
- United States
- Form number
- SSA-634
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Health careInstructions page
Norton Healthcare financial assistance application routes
Owned by Norton Healthcare
Application mode: Public online form; MyChart; Paper/mail; Counselor assistance
Stage: Request hospital financial-assistance review
Revision / edition: Unknown
What problem this helps solve
Request review of eligible hospital charges using the public form, MyChart or paper.
Who completes this
Patient or responsible party; ask counselor about authorized help.
What this does not prove
Confirm covered hospital/provider charges, the current accepted packet and postal destination, and alternatives for missing required fields. No printed paper revision was identified; the two mailing addresses conflict.
- Program
- Hospital financial assistance
- Jurisdiction
- Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Sep 30, 2026
View detailsOfficial source page - Health careOfficial form
UofL Health Financial Assistance Application
Owned by UofL Health
Application mode: Paper/mail; Financial counselor assistance
Stage: Apply for hospital financial assistance
Revision / edition: Unknown
What problem this helps solve
Signed application for review of qualifying hospital charges and household financial circumstances.
Who completes this
Patient/applicant with household financial information.
What this does not prove
Agency reviews eligibility, applicable government assistance and participating charges; request help if usual income documents are missing.
- Program
- Hospital financial assistance
- Jurisdiction
- Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Sep 30, 2026
View detailsOfficial source page - Health careInstructions page
VA health care enrollment application routes
Owned by U.S. Department of Veterans Affairs
Application mode: Online; Phone; Mail; In person; Accredited assistance
Stage: InitialVA health enrollment
Revision / edition: Feb 2025
What problem this helps solve
Apply forVA health benefits online, by phone, on paper or with accredited help.
Who completes this
Veteran/service member or authorizedPOA; accredited representative can assist.
What this does not prove
Enrollment, healthcare costs and eligibility are separateVA decisions; do not infer universal free care.
- Program
- VA health care enrollment
- Jurisdiction
- United States
- Form number
- 10-10EZ
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Sep 30, 2026
View detailsOfficial source page - Employment and educationOfficial form
Kentucky OVR1 Referral for OVR Services
Owned by Kentucky Office of Vocational Rehabilitation
Application mode: Counselor/staff-assisted referral
Stage: Referral before application/eligibility review
Revision / edition: Jan 15, 2026
What problem this helps solve
Start a staff-assisted vocational rehabilitation referral and record accommodation needs.
Who completes this
Applicant withOVRcounselor/staff assistance; office-only fields are completed by agency.
What this does not prove
Speak withOVRstaff before completing/submitting; counselor determines eligibility and must authorize services.
- Program
- Vocational rehabilitation services
- Jurisdiction
- Kentucky
- Form number
- OVR1
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Employment and educationOfficial form
Kentucky OVR2 Application for Services
Owned by Kentucky Office of Vocational Rehabilitation
Application mode: Counselor-assisted paper application
Stage: Application and eligibility review after referral
Revision / edition: Nov 2025
What problem this helps solve
Apply for vocational rehabilitation with a counselor and record intent to work.
Who completes this
Applicant withOVRcounselor/staff assistance; office-only fields are completed by agency.
What this does not prove
Speak withOVRstaff before completing/submitting; counselor determines eligibility and must authorize services.
- Program
- Vocational rehabilitation services
- Jurisdiction
- Kentucky
- Form number
- OVR2
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Sep 30, 2026
View detailsOfficial source page - Employment and educationInstructions page
Kentucky unemployment benefit appeal instructions
Owned by Kentucky Career Center
Application mode: Written letter; Mail/email/fax per appeal stage
Stage: Appeal an existingUI decision
Revision / edition: Unknown
What problem this helps solve
Use the specific decision notice to choose the correct written appeal stage and recipient.
Who completes this
Claimant/employer or authorized representative; court review requires separate procedure.
What this does not prove
Deadlines and recipients depend on appeal stage; follow current notice and seek help promptly. No One Left Outside does not calculate personal deadlines.
- Program
- Unemployment Insurance appeals
- Jurisdiction
- Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Sep 30, 2026
View detailsOfficial source page - Disability and agingOfficial form
Social Security Extra Help with Medicare prescription drug costs
Owned by Social Security Administration
Application mode: Online; Signed paper/mail; SSAappointment
Stage: InitialExtraHelp request unless automatically eligible
Revision / edition: Jan 2026
What problem this helps solve
Apply for drug-cost assistance throughSSA; Medicare prescription-plan enrollment is separate.
Who completes this
Applicant/spouse when applicable; helper completesSectionB.
What this does not prove
Some Medicare/SSI/Medicaid recipients automatically qualify and should not file this packet; confirm withSSA. Application does not enrollPartD.
- Program
- Medicare PartD ExtraHelp
- Jurisdiction
- United States
- Form number
- SSA-1020B-OCR-SM
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - BenefitsOfficial directory
Find your Kentucky LIHEAP application office
Owned by Community Action Kentucky
Application mode: County-based agency lookup; Phone the agency for the current intake process
Stage: Locate the correct local application office.
Revision / edition: Unknown
What problem this helps solve
Use the Community Action Kentucky directory to identify the agency for your county, then confirm the currently active LIHEAP component and its checklist.
Who completes this
The person seeking the service or a helper acting with that person's permission.
What this does not prove
A directory listing does not establish open applications, available funds, or a utility hold.
- Program
- Kentucky LIHEAP local Community Action agency route
- Jurisdiction
- Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Source check limited Sep 30, 2026
View detailsOfficial source page - BenefitsInstructions page
LG&E and KU payment arrangement instructions
Owned by LG&E and KU
Application mode: Utility mobile app; My Account; Automated phone options
Stage: Request an account arrangement and confirm its terms.
Revision / edition: Unknown
What problem this helps solve
The utility explains how eligible customers can request account payment arrangements through its app, My Account, or automated phone system.
Who completes this
The person seeking the service or a helper acting with that person's permission.
What this does not prove
Eligibility and the effect on disconnection are account-specific. Obtain the utility's confirmation and comply with the agreed due date.
- Program
- LG&E and KU account payment arrangements
- Jurisdiction
- LG&E and KU customer accounts; geographic service boundary is not established by this record
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - HousingOfficial form
VAWA self-certification and alternate documentation
Owned by U.S. Department of Housing and Urban Development
Application mode: Paper self-certification or permitted alternate documentation to the covered provider
Stage: Respond to a written VAWA documentation request.
Revision / edition: Unknown
What problem this helps solve
HUD's optional self-certification is one permitted response when a covered housing provider makes a written request for documentation of domestic violence, dating violence, sexual assault, or stalking.
Who completes this
The applicant or tenant seeking VAWA protections in a covered housing program; a helper may assist.
What this does not prove
The form describes at least 14 business days to respond to a provider's written request, subject to the request and any extension. Keep victim information private and use a safe submission route.
- Program
- VAWA protections in covered housing
- Jurisdiction
- Covered housing programs; confirm the provider and program
- Form number
- HUD-5382
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - HousingInstructions page
Language and disability help for VAWA housing forms
Owned by U.S. Department of Housing and Urban Development
Application mode: Ask the covered provider for language assistance; Request a reasonable accommodation for form completion
Stage: Obtain help before completing or submitting a covered housing form.
Revision / edition: Unknown
What problem this helps solve
Ask the covered housing provider for language assistance or disability-related help completing a VAWA form, and explain a safe way to contact you.
Who completes this
The person seeking the service or a helper acting with that person's permission.
What this does not prove
This destination does not confirm eligibility, acceptance, funding, availability, or an outcome.
- Program
- Language assistance and reasonable accommodations for covered VAWA housing forms
- Jurisdiction
- Covered housing providers subject to the HUD form instructions
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - HousingInstructions page
KHC Housing Choice Voucher instructions
Owned by Kentucky Housing Corporation
Application mode: Read the maintained county and waiting-list notice; Existing applicants: follow the agency's applicant-management instructions
Stage: Check program jurisdiction and current waiting-list status before applying.
Revision / edition: Unknown
What problem this helps solve
KHC explains its voucher program, county coverage, applicant portal, and current waiting-list notices.
Who completes this
The person seeking the service or a helper acting with that person's permission.
What this does not prove
The September 30, 2026 page said the KHC waiting list was closed. Next intake is UNKNOWN; this is not an emergency-housing route.
- Program
- KHC Housing Choice Vouchers
- Jurisdiction
- KHC-administered counties listed on the official page; other housing authorities have separate jurisdictions
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - LegalOfficial directory
Kentucky court guided interviews and filing help
Owned by Kentucky Court of Justice
Application mode: Official guided interviews; Print and file at the correct clerk
Stage: Prepare case-specific paperwork and complete the separate filing step.
Revision / edition: Unknown
What problem this helps solve
The official self-help page links guided interviews for selected case types, including fee waivers, domestic violence or interpersonal-protection orders, certain expungements, small claims, probate, and name changes.
Who completes this
The person seeking the service or a helper acting with that person's permission.
What this does not prove
Online completion is preparation. The official page directs users to print the papers and file them with the correct clerk.
- Program
- Kentucky Court of Justice Legal Self-Help
- Jurisdiction
- Kentucky; select the correct county court
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - LegalOfficial form
Request a Kentucky civil court fee waiver
Owned by Kentucky Court of Justice
Application mode: Paper AOC-026; Guided interview followed by printing and filing
Stage: Prepare a civil court fee-waiver request for the judge's decision.
Revision / edition: Oct 2022
What problem this helps solve
AOC-026 combines a motion, sworn affidavit, financial statement, and proposed order for a court to decide whether to waive covered costs and fees.
Who completes this
The person requesting a civil court fee waiver; the official form includes the court's order section.
What this does not prove
A fee waiver requires a court decision. This source does not establish waiver of the separate $40 expungement certification fee.
- Program
- Court costs and fees: In Forma Pauperis request
- Jurisdiction
- Kentucky civil courts; case-specific judicial decision
- Form number
- AOC-026
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Sep 30, 2026
View detailsOfficial source page - LegalInstructions page
Ask your Kentucky court for an interpreter
Owned by Kentucky Court of Justice
Application mode: Request through the court handling the proceeding
Stage: Arrange interpretation before the court proceeding.
Revision / edition: Unknown
What problem this helps solve
Contact the court where the proceeding will occur to request language or Deaf and hard-of-hearing interpretation. Trial courts arrange interpreters through the court system.
Who completes this
The person seeking the service or a helper acting with that person's permission.
What this does not prove
This destination does not confirm eligibility, acceptance, funding, availability, or an outcome.
- Program
- Court language access
- Jurisdiction
- Kentucky court proceedings
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - LegalInstructions page
Request disability access for a Kentucky court task
Owned by Kentucky Court of Justice
Application mode: Ask the responsible court office for an auxiliary aid or reasonable modification
Stage: Arrange access before a court service or proceeding.
Revision / edition: Unknown
What problem this helps solve
Request an auxiliary aid or a disability-related modification from the appropriate clerk, judge, or court office as early as possible.
Who completes this
The person seeking the service or a helper acting with that person's permission.
What this does not prove
This destination does not confirm eligibility, acceptance, funding, availability, or an outcome.
- Program
- Kentucky Court of Justice ADA accommodations
- Jurisdiction
- Kentucky Court of Justice services, programs, and activities
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - TransportationInstructions page
Request a TARC reasonable accommodation
Owned by Transit Authority of River City
Application mode: Phone 502-585-1234; Email info@ridetarc.org with the information requested on the official page
Stage: Ask for a service-related accommodation before travel when possible.
Revision / edition: Unknown
What problem this helps solve
TARC publishes a phone and email route to request a disability-related reasonable accommodation for using its services.
Who completes this
The person seeking the service or a helper acting with that person's permission.
What this does not prove
This destination does not confirm eligibility, acceptance, funding, availability, or an outcome.
- Program
- TARC reasonable accommodations
- Jurisdiction
- TARC services; applicable request depends on the service
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - IdentityInstructions page
Print or fax forms at Louisville Free Public Library
Owned by Louisville Free Public Library
Application mode: Library computer access; In-library print and copy; Mobile printing; Free faxing
Stage: Prepare or transmit paper documents using the receiving agency's official instructions.
Revision / edition: Unknown
What problem this helps solve
LFPL publishes computer access, printing and copying prices, and free faxing. These services can help with an official form that must be printed or faxed.
Who completes this
The person seeking the service or a helper acting with that person's permission.
What this does not prove
This destination does not confirm eligibility, acceptance, funding, availability, or an outcome.
- Program
- LFPL computer access, printing, copying, and faxing
- Jurisdiction
- Louisville Free Public Library locations; confirm the location and arrangements
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - BenefitsInstructions page
kynect account access and password help
Owned by Kentucky Cabinet for Health and Family Services
Application mode: Use the FAQ's KYID password-reset instructions; Technical account help by phone: 844-407-8398; Benefit application help through DCBS: 855-306-8959
Stage: Recover your own account access or use agency-assisted application options.
Revision / edition: Unknown
What problem this helps solve
The official kynect benefits FAQ explains KYID account access, password reset, technical help, and the distinction between a public view and account-based benefit tasks.
Who completes this
The person seeking the service or a helper acting with that person's permission.
What this does not prove
Keep passwords and email access private. Technical account help and DCBS benefit-application help are different routes.
- Program
- kynect benefits and KYID account access
- Jurisdiction
- Kentucky
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - BenefitsOfficial form
Lifeline Program Application Form
Owned by Federal Communications Commission / USAC
Application mode: Online; Paper by mail; Company-assisted
Stage: Initial application
Revision / edition: Feb 2026
What problem this helps solve
Apply for a phone or internet discount using the official online, mail or participating-company route.
Who completes this
The applicant or an authorized requester, as the official process allows.
What this does not prove
The agency determines acceptance, eligibility and processing; opening the route establishes none of those outcomes.
- Program
- Lifeline
- Jurisdiction
- United States (federal program)
- Form number
- FCC 5629
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - BenefitsOfficial form
Lifeline Program Annual Recertification Form
Owned by Federal Communications Commission / USAC
Application mode: Online; Paper by mail; Telephone when proof not required
Stage: Recertification after a notice
Revision / edition: Feb 2026
What problem this helps solve
Respond to a USAC request to recertify an existing Lifeline benefit; use the notice and requested channel.
Who completes this
The applicant or an authorized requester, as the official process allows.
What this does not prove
The agency determines acceptance, eligibility and processing; opening the route establishes none of those outcomes.
- Program
- Lifeline
- Jurisdiction
- United States (federal program)
- Form number
- FCC 5630
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - BenefitsInstructions page
Lifeline application, document and account-recovery help
Owned by USAC
Application mode: Telephone; Official support contact
Stage: Assistance or account recovery
Revision / edition: Unknown
What problem this helps solve
Ask USAC for help with an application, recertification, requested documents or resetting your account.
Who completes this
The Lifeline applicant/subscriber contacts USAC directly; No One Left Outside does not handle account credentials.
What this does not prove
The agency determines acceptance, eligibility and processing; opening the route establishes none of those outcomes.
- Program
- Lifeline Support Center
- Jurisdiction
- United States (federal program)
- Form number
- Unknown / not established
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - Employment and educationSupporting document
Request for Transcript of Tax Return
Owned by Internal Revenue Service
Application mode: Paper by mail/fax; Online transcript route; Telephone for return/account transcripts
Stage: Recover requested income evidence
Revision / edition: Apr 2025
What problem this helps solve
Recover a tax transcript when the receiving agency asks for that evidence; the IRS also provides online and telephone transcript routes.
Who completes this
The applicant or an authorized requester, as the official process allows.
What this does not prove
The agency determines acceptance, eligibility and processing; opening the route establishes none of those outcomes.
- Program
- Tax transcripts
- Jurisdiction
- United States (federal program)
- Form number
- 4506-T
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - IdentityOfficial form
Request Pertaining to Military Records
Owned by National Archives / GSA
Application mode: Online; Paper by mail/fax
Stage: Recover military service records before a benefits request
Revision / edition: Jun 2026
What problem this helps solve
Request missing DD214 or other military service records using NARA online or the currently linked SF180 mail/fax route.
Who completes this
The applicant or an authorized requester, as the official process allows.
What this does not prove
The agency determines acceptance, eligibility and processing; opening the route establishes none of those outcomes.
- Program
- Military service records
- Jurisdiction
- United States (federal program)
- Form number
- SF 180
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Sep 30, 2026
View detailsOfficial source page - HousingOfficial form
HUD-52517 Request for Tenancy Approval
Owned by U.S. Department of Housing and Urban Development
Application mode: Get the copy your housing authority uses; Return it the way your housing authority tells you
Stage: You have a voucher (new or for a move) and found a unit you want to rent.
Revision / edition: Apr 2023
What problem this helps solve
The form you and a landlord fill out to ask your housing authority to approve a new unit, including when you move with your voucher.
Who completes this
The voucher holder and the owner of the unit, usually from the packet the housing authority gives with the voucher.
What this does not prove
Your housing authority, not HUD, approves the unit and inspects it. Many housing authorities give out their own copy; use theirs if they hand you one.
- Program
- Housing Choice Voucher program (Section 8)
- Jurisdiction
- United States; Housing Choice Voucher program run by your local housing authority
- Form number
- HUD-52517
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Oct 19, 2026
View detailsOfficial source page - HousingOfficial form
HUD-52646 Housing Choice Voucher
Owned by U.S. Department of Housing and Urban Development
Application mode: Get the copy your housing authority uses; Return it the way your housing authority tells you
Stage: Read the terms of a voucher you were issued or are about to receive.
Revision / edition: Apr 2023
What problem this helps solve
The blank HUD voucher form. Your housing authority fills it in and issues it; reading the blank shows the terms, the family's duties and the time limit to find a unit.
Who completes this
Your housing authority completes and signs it; the family signs to accept it. We link the blank copy so you can read the terms.
What this does not prove
A blank copy is not a voucher and gives no rental assistance.
- Program
- Housing Choice Voucher program (Section 8)
- Jurisdiction
- United States; Housing Choice Voucher program run by your local housing authority
- Form number
- HUD-52646
- Role
- optional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Oct 19, 2026
View detailsOfficial source page - HousingOfficial form
HUD-52641 Housing Assistance Payments (HAP) Contract
Owned by U.S. Department of Housing and Urban Development
Application mode: Get the copy your housing authority uses; Return it the way your housing authority tells you
Stage: Understand the payment contract behind your voucher unit.
Revision / edition: Apr 2023
What problem this helps solve
The HUD contract between your housing authority and your landlord that sets the housing assistance payments for your unit.
Who completes this
The housing authority and the owner sign it. The tenant does not sign it but can read it to understand the payment terms.
What this does not prove
This is not a lease. The tenant's rights in the voucher program are in the Tenancy Addendum (HUD-52641-A).
- Program
- Housing Choice Voucher program (Section 8)
- Jurisdiction
- United States; Housing Choice Voucher program run by your local housing authority
- Form number
- HUD-52641
- Role
- optional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Oct 19, 2026
View detailsOfficial source page - HousingOfficial form
HUD-52641-A Tenancy Addendum
Owned by U.S. Department of Housing and Urban Development
Application mode: Get the copy your housing authority uses; Return it the way your housing authority tells you
Stage: Check your rights under your voucher lease, especially before ending it or moving.
Revision / edition: Unknown
What problem this helps solve
The HUD addendum attached to a voucher holder's lease. It sets rules the lease cannot override, including how the lease can end and when the family can move.
Who completes this
It is attached to the tenant's lease; read it to know your rights before you sign or end a lease.
What this does not prove
Ending a lease early can affect your voucher. Talk to your housing specialist before you give notice or move out.
- Program
- Housing Choice Voucher program (Section 8)
- Jurisdiction
- United States; Housing Choice Voucher program run by your local housing authority
- Form number
- HUD-52641-A
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Oct 19, 2026
View detailsOfficial source page - HousingOfficial form
HUD-52665 Family Portability Information
Owned by U.S. Department of Housing and Urban Development
Application mode: Get the copy your housing authority uses; Return it the way your housing authority tells you
Stage: Moving with your voucher to an area served by a different housing authority.
Revision / edition: Apr 2023
What problem this helps solve
The HUD form housing authorities use when a voucher family moves to another housing authority's area (portability).
Who completes this
Your current housing authority completes it and sends it to the housing authority in the new area after you ask to port.
What this does not prove
You start a portability move with your current housing authority. Rules on who can port and when vary.
- Program
- Housing Choice Voucher program (Section 8)
- Jurisdiction
- United States; Housing Choice Voucher program run by your local housing authority
- Form number
- HUD-52665
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Oct 19, 2026
View detailsOfficial source page - HousingOfficial notice
HUD-5380 Notice of Occupancy Rights Under VAWA
Owned by U.S. Department of Housing and Urban Development
Application mode: Get the copy your housing authority uses; Return it the way your housing authority tells you
Stage: Learn your VAWA housing protections in a covered program.
Revision / edition: Unknown
What problem this helps solve
HUD's notice explaining housing protections under the Violence Against Women Act for tenants and applicants in covered programs, including the voucher program.
Who completes this
Covered housing providers give it to applicants and tenants; it is a notice, not a form to fill out.
What this does not prove
Use a safe contact method when you ask your housing provider about these protections.
- Program
- Housing Choice Voucher program (Section 8)
- Jurisdiction
- United States; Housing Choice Voucher program run by your local housing authority
- Form number
- HUD-5380
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Oct 19, 2026
View detailsOfficial source page - HousingOfficial form
HUD-9886-A Authorization for the Release of Information/Privacy Act Notice
Owned by U.S. Department of Housing and Urban Development
Application mode: Get the copy your housing authority uses; Return it the way your housing authority tells you
Stage: Application, recertification or an interim change at your housing authority.
Revision / edition: Oct 2023
What problem this helps solve
The consent form each adult in an assisted household signs so the housing authority and HUD can verify income and other information.
Who completes this
Each household member age 18 or older signs it, usually at application and recertification.
What this does not prove
Signing allows information checks; it does not decide eligibility.
- Program
- Housing Choice Voucher program (Section 8)
- Jurisdiction
- United States; Housing Choice Voucher program run by your local housing authority
- Form number
- HUD-9886-A
- Role
- conditional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Oct 19, 2026
View detailsOfficial source page - HousingOfficial form
HUD-92006 Supplement to Application for Federally Assisted Housing
Owned by U.S. Department of Housing and Urban Development
Application mode: Get the copy your housing authority uses; Return it the way your housing authority tells you
Stage: Applying for federally assisted housing or updating a contact person.
Revision / edition: Unknown
What problem this helps solve
Optional form to name a contact person or organization the housing provider can reach about your tenancy or special needs.
Who completes this
Applicants for federally assisted housing; filling it in is optional.
What this does not prove
Completing it is optional; it does not change your application.
- Program
- Housing Choice Voucher program (Section 8)
- Jurisdiction
- United States; Housing Choice Voucher program run by your local housing authority
- Form number
- HUD-92006
- Role
- optional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Oct 19, 2026
View detailsOfficial source page - HousingOfficial form
HUD-52675 Debts Owed to Public Housing Agencies and Terminations
Owned by U.S. Department of Housing and Urban Development
Application mode: Get the copy your housing authority uses; Return it the way your housing authority tells you
Stage: Understand how debts and terminations are reported before ending a tenancy or moving.
Revision / edition: Unknown
What problem this helps solve
HUD notice that housing authorities report money owed and some terminations to HUD's system; families sign that they received it.
Who completes this
Each adult household member signs that they received the notice, usually at application or admission.
What this does not prove
Unpaid money owed to a housing authority can affect future assistance; ask about a repayment agreement before you move.
- Program
- Housing Choice Voucher program (Section 8)
- Jurisdiction
- United States; Housing Choice Voucher program run by your local housing authority
- Form number
- HUD-52675
- Role
- optional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Confirm current edition or status; source checked Oct 19, 2026
View detailsOfficial source page - HousingInstructions page
HUD Housing Choice Voucher Guidebook: Moves and Portability
Owned by U.S. Department of Housing and Urban Development
Application mode: Get the copy your housing authority uses; Return it the way your housing authority tells you
Stage: Planning a move with a voucher.
Revision / edition: Unknown
What problem this helps solve
HUD's guidebook chapter on how voucher families move, inside or outside their housing authority's area, including notice, timing and portability.
Who completes this
Written for housing authority staff; families and caseworkers can read it to understand the move process.
What this does not prove
Your housing authority's administrative plan sets local move rules; ask your housing specialist how they apply to you.
- Program
- Housing Choice Voucher program (Section 8)
- Jurisdiction
- United States; Housing Choice Voucher program run by your local housing authority
- Form number
- Unknown / not established
- Role
- optional
Connected journeys
Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
Official destination checked Oct 19, 2026
View detailsOfficial source page
This curated catalog includes only evidence-bounded official destinations. It does not inflate the count with search results or unverified PDFs.