Journey guide

Applying for SSI or SSDI

This guide supports preparation and referrals; it does not determine disability, eligibility, payment, or appeal rights.

Your plan

7 steps, in the order that works. Select any step for the full instructions.

Step 1 of 7. Work out which task this is. More info.
Step 2 of 7. Read the date on your notice. More info.
Step 3 of 7. Start the application. More info.
Step 4 of 7. Gather health and work history. More info.
Step 5 of 7. Know which office decides what. More info.
Step 6 of 7. Decide whether you want free help. More info.
Step 7 of 7. Keep contact and confirmations stable. More info.

Answer these to shorten your plan

[data-journey-question]{display:none}Choosing answers needs JavaScript. Follow the full plan above, choose another Journey guide, or call 211 for local help.

Optional. Answers stay in this browser tab; they are not placed in the address, sent to No One Left Outside or used to decide eligibility. Skipping every question gives you the full plan above.

Where are you in the process?

Do you want someone to help you with this?

Progress stays in this browser tab and is never sent to No One Left Outside.

Start here

Your first action

Packet

Do this now

Choose the correct program — SSI (need-based) or SSDI (work-record-based) or both — then apply or schedule an appointment with SSA as early as possible. The filing date may matter for back pay.

Next: Social Security Administration general contact

Call Social Security (number listed by USA.gov) — (800) 772-1213

Ask: Ask whether this is an initial claim or an appeal, whether SSI or SSDI applies, and what documents to gather before the interview. SSA sets the requirements.

Not in Louisville? Outside Louisville: civil legal aid for your county

Find civil legal aid for your county

Legal Aid Society serves the Louisville area. Kentucky Court of Justice's Legal Self-Help page links civil legal-aid resources statewide. Social Security's own phone line and field offices take applications and appeals from every county.

Situation: Starting an SSI or SSDI claim, or responding to a denial or appeal. SSI and SSDI have different rules; the exact program must be identified before applying.

What you need to startUse what you have. Missing items do not block the first call.

Have ready if available

Social Security number
Birth certificate or proof of age
Medical records and treating provider contacts if available
Work history if applying for SSDI

Missing something? Ask what can be reviewed; do not wait to call.

If the first route fails

If a claim was denied or an appeal deadline has been received: Contact Legal Aid Society for help with a disability appeal before the deadline stated on the notice. The deadline controls — do not let it pass while researching.

Legal Aid Society of Louisville intake

Keep any existing SSA application or case number active and continue gathering medical records.

Last checked 2026-08-05 · Kentucky · official source: Legal Aid Society of Louisville — Intake

What remains uncertain: Eligibility, benefit amount, processing time, and appeal deadlines are SSA's determinations. Legal Aid capacity is limited; contact them early.

Universal preparation guidance · checked 2026-08-05 · Jurisdiction-neutral

Programs under one organization can differ. Provider information · Methodology

Choose what needs attention

Where is this claim now?

Pick everything that applies — more than one can be true. Your choices only change what this page shows you.

Select a card to add it. Select it again to remove it.

Keep the plan moving

If the first route is closed or you cannot use it

A closed office, unanswered call, or unavailable device does not prove that you are denied or that a service is unavailable. This guide lists some options, not every possible route. If it is safe to do so, ask for another appropriate contact and keep the original task open.

The office or line is closed

Record what failed and when. Use a listed same-day alternative if one exists, and keep the original call or application as a separate follow-up.

See things that may help today

You cannot use the phone or website

Check for another published channel or ask a trusted helper to open the route with you. Share only the minimum information needed. If no workable channel is listed, that gap remains unknown.

Check the official routes

Related resources can offer another path, but a listing does not confirm current hours, capacity, eligibility, or acceptance. Review related resources.

What this guide cannot promise

Reviewed guidance only. Fees, timelines, eligibility, document substitutes, capacity, and provider practices are not published unless supported by a named source. Confirm current requirements directly.

How to read checked, listed, and unknown informationA listing can stay useful without being provider confirmed.

Checked fact or route: No One Left Outside matched the fact to the named source on the date shown. This is not proof of current availability or provider confirmation.
Directory lead: A listing that may still help remains visible with an honest status such as Possibly active or Needs verification.
PROVIDER CONFIRMED: Only named fields backed by linked first-party provider evidence, integrity checks, and attributed human approval may carry this state. No One Left Outside never infers it from a website, import, likely fit, or contact attempt.
UNKNOWN / Needs verification: No One Left Outside does not know the answer yet. Confirm it directly; this is not a claim that the resource or option does not exist.

Each step in full

The same steps as the plan above, with the instructions for each one.

Step 1Work out which task this is of 7
Private plan · nothing is sent
Do this
Name whether this is a first application, a records request, a review, or a decision you want to challenge.
- A first application starts a claim. A review continues one. A denial starts a clock.
- SSA publishes four appeal opportunities — reconsideration, a hearing before an administrative law judge, Appeals Council review, and a federal district court action.
- Say which one you are in before you gather anything, because the four ask for different things.
Move on when: you can name which of the four you are in and which office is waiting on you.
Ways to get help for this step
- Apply for SSI or SSDI with Social Security — national
  A first application is filed with Social Security, online or at a local office.
  Open official route →
- Social Security appeals — national
  SSA's four appeal levels, if this is a decision you want to challenge.
  Open official route →
Limits and what to confirm
- Which appeal stage your own notice puts you at. Read it off the notice; No One Left Outside cannot tell from here.
Why this step is here
First, because a denial and a first application look similar from the inside and are completely different processes with completely different deadlines.
What was checked, and what is still unknown (1)
Official sources checked (1)
- Social Security AdministrationAppeal a decision we made
  Establishes: SSA describes four appeal levels: reconsideration, hearing, Appeals Council review, and federal court review.
  Checked on 2026-09-07
Still unknown
- Which appeal stage your own notice puts you at. Read it off the notice; No One Left Outside cannot tell from here.
Back to your plan
Step 2Read the date on your notice of 7
Private plan · nothing is sent
Do this
Read the notice and its appeal instructions promptly. Confirm the deadline using the receipt rules that apply to your decision.
- SSA publishes 60 days to submit a request for reconsideration once you receive a decision, on form SSA-561-U2, and 60 days to request a hearing once you get a reconsideration decision, on form HA-501.
- Keep the notice and record when you received it. Follow its appeal instructions and ask SSA or a qualified representative to confirm the deadline; do not substitute the printed notice date for receipt.
- If a deadline has already passed, ask SSA in writing to accept a late request and say why it was late. Whether SSA does is its decision.
- SSA publishes support on 1-800-772-1213, Monday to Friday 8 a.m. to 7 p.m., with TTY on 1-800-325-0778.
Move on when: the deadline is written down somewhere you will see it, or you have asked SSA in writing to accept a late request.
Limits and what to confirm
- Whether SSA will accept a late request, and the rules it applies to that decision.
Why this step is here
Immediately after naming the task, because this is the only step here with a clock on it. Other requests may also have deadlines; do not wait for records or an intake response before protecting appeal rights.
What was checked, and what is still unknown (3)
Official sources checked (3)
- U.S. Social Security AdministrationDisability Determination Process
  Establishes: Someone who cannot complete the application online can apply by calling SSA on 1-800-772-1213 between 8:00 a.m. and 7:00 p.m., and a representative can make an appointment; TTY is 1-800-325-0778, Monday through Friday.
  Checked on 2026-09-07
- Social Security AdministrationRequest reconsideration
  Establishes: SSA publishes a 60-day reconsideration request period after receipt of a decision and describes DDS review of disability reconsiderations.
  Checked on 2026-09-07
- Social Security AdministrationRequest a hearing
  Establishes: SSA publishes a 60-day hearing request period after receipt of a reconsideration decision.
  Checked on 2026-09-07
Still unknown
- Whether SSA will accept a late request, and the rules it applies to that decision.
Back to your plan
Step 3Start the application of 7
Private plan · nothing is sent
Do this
Apply as soon as you become disabled, through whichever SSA route fits your situation.
- SSA says to apply as soon as you become disabled. SSDI carries a five-month waiting period, so payments do not begin before the sixth full month of disability; there is no waiting period where the disability results from ALS and benefits are approved on or after 23 July 2020.
- SSI is paid for the first full month after the date the claim was filed, or later if eligibility starts later. Filing sooner is what protects the earlier date.
- The online disability application is open to someone aged 18 or over who is not already receiving benefits on their own record, is unable to work because of a medical condition expected to last at least 12 months or result in death, and has not been denied disability benefits in the last 60 days.
- If you cannot complete it online, call 1-800-772-1213 between 8 a.m. and 7 p.m. and a representative can make an appointment; TTY is 1-800-325-0778.
Move on when: the claim is filed and you hold a confirmation, or an appointment to file is booked.
Limits and what to confirm
- Eligibility, requested medical evidence, and decision time are UNKNOWN here; SSA determines them.
Why this step is here
Before gathering documents, because the filing date is what the payment months are counted from and a complete file filed late is worth less than an incomplete one filed now.
What was checked, and what is still unknown (3)
Official sources checked (3)
- U.S. Social Security AdministrationDisability Determination Process
  Establishes: SSA says to apply as soon as you become disabled. SSDI carries a five-month waiting period, so payments do not begin before the sixth full month of disability, and there is no waiting period where the disability results from ALS and benefits are approved on or after 23 July 2020. SSI is paid for the first full month after the date the claim was filed, or later if eligibility starts later.
  Checked on 2026-09-07
- U.S. Social Security AdministrationApply Online for Disability Benefits
  Establishes: SSA's online disability application is open to someone who is 18 or older, is not already receiving benefits on their own record, is unable to work because of a medical condition expected to last at least 12 months or result in death, and has not been denied disability benefits in the last 60 days.
  Checked on 2026-09-07
- U.S. Social Security AdministrationDisability Determination Process
  Establishes: Someone who cannot complete the application online can apply by calling SSA on 1-800-772-1213 between 8:00 a.m. and 7:00 p.m., and a representative can make an appointment; TTY is 1-800-325-0778, Monday through Friday.
  Checked on 2026-09-07
Still unknown
- Eligibility, requested medical evidence, and decision time are UNKNOWN here; SSA determines them.
Back to your plan
Step 4Gather health and work history of 7
Private plan · nothing is sent
Do this
Write a plain list of conditions, treatment sources, medications, work history, education, and daily limits.
- SSA publishes an Adult Disability Checklist for exactly this, and a Medical Release Form that goes with the application.
- Name every place that has treated you, with rough dates. Use the checklist to check for missing treatment sources.
- Describe daily limitations in plain terms — what you can no longer do, and what happens when you try.
- Do not mail foreign birth records or Department of Homeland Security documents; bring them to an office instead, where they are examined and returned.
Move on when: every treating source is named with a rough date, and the checklist has no blank lines you could have filled.
Limits and what to confirm
- Which records SSA will request and which it will accept. It decides that.
Why this step is here
After filing, because the claim is already open and this is what fills it in. SSA's own checklist exists to be worked through afterwards.
What was checked, and what is still unknown (1)
Official sources checked (1)
- U.S. Social Security AdministrationApply Online for Disability Benefits
  Establishes: SSA publishes an Adult Disability Checklist to gather the information the application asks for, and a Medical Release Form that goes with it.
  Checked on 2026-09-07
Still unknown
- Which records SSA will request and which it will accept. It decides that.
Back to your plan
Step 5Know which office decides what of 7
Private plan · nothing is sent
Do this
DDS handles medical disability determinations; SSA handles applications and technical eligibility. Use the contact on your current request.
- Kentucky's Disability Determination Services makes disability determinations on behalf of the Commissioner of Social Security for Kentucky residents — and states plainly that it does not take applications for disability benefits.
- Applications are filed at local Social Security offices, or online at SSA.gov.
- Technical eligibility — work credits for SSDI, income and assets for SSI — is determined by the local Social Security office, not by DDS.
- On a disability reconsideration, an examiner from a DDS office reviews the request and the original application. In Kentucky that is a different office from the one that took the application.
Move on when: you know which of the two offices owes you your next answer.
Ways to get help for this step
- Apply for SSI or SSDI with Social Security — national
  Applications and technical eligibility: Social Security.
  Open official route →
- Kentucky Disability Determination Services — statewide (does not take applications)
  Medical determinations for Kentucky residents: DDS, which does not take applications.
  Open official route →
Limits and what to confirm
- Which office currently holds your file. Ask; the answer changes as a claim moves.
Why this step is here
Before you make a trip or chase a decision, because this is the step that prevents the trip that was never going to work.
What was checked, and what is still unknown (2)
Official sources checked (2)
- Kentucky Education and Labor CabinetDepartment for Disability Determination Services Program
  Establishes: Kentucky DDS makes disability determinations; SSA takes benefit applications and determines technical eligibility.
  Checked on 2026-09-07
- Social Security AdministrationRequest reconsideration
  Establishes: SSA publishes a 60-day reconsideration request period after receipt of a decision and describes DDS review of disability reconsiderations.
  Checked on 2026-09-07
Still unknown
- Which office currently holds your file. Ask; the answer changes as a claim moves.
Back to your plan
Step 6Decide whether you want free help of 7
Private plan · nothing is sent
Do this
Ask SSA for nonprofit and legal referral contacts, and ask each service what assistance and fees apply.
- Kentucky Protection & Advocacy publishes 502-564-2967, toll-free 1-800-372-2988, and an online request route.
- Legal Aid Society publishes an online application and 502-584-1254. Ask whether your location and case are within its current service scope.
- SSA Form SSA-1696 appoints or updates a representative. General help with forms is not the same as formal appointment.
- Whether either organisation takes your case is its own decision.
Move on when: you have either asked for help and know when you will hear back, or decided to do it yourself.
Limits and what to confirm
- Confirm Legal Aid Society's service area and intake for your case. Applying does not create an attorney-client relationship or stop a hearing.
- Whether either organisation will take your case, and what it would do about it. Both decide that themselves.
Why this step is here
Request help promptly and explain any approaching deadline; intake does not replace a timely response.
What was checked, and what is still unknown (3)
Official sources checked (3)
- Social Security AdministrationForm SSA-1696 — Claimant's Appointment of a Representative
  Establishes: SSA-1696 appoints a qualified representative; SSA can supply legal referral and nonprofit help contacts, and fees require SSA authorization.
  Checked on 2026-09-07
- Kentucky Protection & AdvocacyContact Us
  Establishes: Kentucky Protection & Advocacy publishes 502-564-2967, 800-372-2988, and a request-for-help route.
  Checked on 2026-09-07
- Legal Aid SocietyApplication for Services
  Establishes: Completing this application does not make you a client of Legal Aid Society and does not create an attorney-client relationship.
  Practical limit: Confirm Legal Aid Society's service area and intake for your case. Applying does not create an attorney-client relationship or stop a hearing.
  Checked on 2026-09-30
Still unknown
- Whether either organisation will take your case, and what it would do about it. Both decide that themselves.
Back to your plan
Step 7Keep contact and confirmations stable of 7
Private plan · nothing is sent
Do this
SSA will write to you. Make sure the letter arrives and that you can prove what you sent.
- Record a confirmation or reference for every submission, and the date.
- If you have no fixed address, the Postal Service publishes General Delivery as a temporary way to receive mail — but a customer can be required to present identification, and each piece is held for no more than 30 days.
- That matters twice over: it may not solve an address problem for someone also missing ID, and a notice with a deadline further out than 30 days can go back to the sender before you collect it.
- Call the specific Post Office first. Which facility offers General Delivery, and what identification that postmaster accepts, are decided locally.
- Choose a safe contact method, name who owns the next action, and write down when to check again.
- Keep a safe copy or reference number for each notice, submission, referral, and instruction so the work can resume without starting over.
Move on when: there is a route by which a dated letter reaches you, and you can say what you sent and when.
Limits and what to confirm
- Which Post Office offers General Delivery near you and what identification it accepts.
Why this step is here
Last, because it is what keeps every step above from being undone by a notice nobody received.
What was checked, and what is still unknown (1)
Official sources checked (1)
- U.S. Postal ServiceDomestic Mail Manual 508 — Recipient Services, General Delivery
  Establishes: General Delivery is a temporary mail option; suitable identification can be required, customers should confirm the destination facility before mailing, and each item is held no more than 30 days (less if requested by the sender).
  Checked on 2026-09-07
Still unknown
- Which Post Office offers General Delivery near you and what identification it accepts.
Back to your plan

Everything this journey covers is below: the documents involved, what commonly blocks people, and the official routes. Pick whichever situations above match yours to narrow this to an ordered plan for each one, with what to bring, what to ask, and what to do if it does not work. You can pick more than one, and you can change your mind.

Documents and what replaces them (2)Every document this journey covers, what each one proves, and the accepted substitutes.

Documents and recovery questions

Anything marked “confirmed” below has a named source and a check date. Everything else is a question worth asking, not a rule — ask before relying on it.

Medical and treatment history

An official reviewer may request information about conditions, treatment, and functioning.

If it is missing

List providers and dates as accurately as possible and ask how official records should be requested.

Possibilities to ask about

Ask the official reviewer what records or release forms are acceptable.

Official details not yet verified — ask the agency for current instructions · checked 2026-08-01 · Kentucky

Identity, work, and benefits records

An application may request identity, earnings, work, household, and existing-benefit information.

If it is missing

Use the ID journey and ask the official agency what can begin while records are pending.

Confirmed accepted instead

A driver's licence, identification card, school record, medical record, marriage record, or passportAccepted by Social Security Administration
- — Must show your name plus either your age, date of birth, or parents' names, or your photograph or physical description.
- — A birth record is expressly not sufficient to establish identity for this purpose.
- — Documents must be originals or copies certified by the custodian of the record — plain photocopies are not accepted.
Evidence of identity may consist of a driver's license, identification card, school record, medical record, marriage record, passport, Department of Homeland Security document, or other similar evidence serving to identify you.
20 CFR 422.107 — Social Security Administration evidence requirements — checked 2026-08-06 — https://www.ecfr.gov/current/title-20/chapter-III/part-422/subpart-B/section-422.107
A family bible or family record, school or census records, an insurance policy, a marriage or employment record, a delayed birth certificate, your child's birth certificate, or a statement signed by the physician or midwife present at your birthAccepted by Social Security Administration
- — These are the alternatives where preferred evidence — a birth or hospital record recorded before age 5, or a religious record recorded before age 5 — cannot be obtained.
If you cannot obtain the preferred evidence of your age, you will be asked for other convincing evidence that shows your date of birth or age at a certain time such as: an original family bible or family record; school records; census records; a statement signed by the physician or midwife who was present at your birth; insurance policies; a marriage record; a passport; an employment record; a delayed birth certificate, your child's birth certificate; or an immigration or naturalization record.
20 CFR 404.716 — Type of evidence of age to be given — checked 2026-08-06 — https://www.ecfr.gov/current/title-20/chapter-III/part-404/subpart-H/section-404.716

Last checked 2026-08-06 · Jurisdiction-neutral · official source: 20 CFR 422.107 — Social Security Administration evidence requirements

If something is blocking you (5)What commonly stops people here, and what has worked around it.

If something is blocking you

A denial or other notice may have a deadline.

Things to try

Seek prompt official or qualified legal review; do not rely on an undated summary.
SSA publishes 60 days to request reconsideration and 60 days to request a hearing after a reconsideration decision — read your own dated notice against that, because the notice controls.

There is no reliable address, so notices and decisions may not arrive.

Things to try

Confirm what address and phone SSA holds before chasing anything else, because every stage after a denial is decided on paper.
USPS publishes General Delivery for people not permanently located, but holds each piece no more than 30 days — shorter than a 60-day appeal window.

Medical, work, phone, or mailing records are incomplete.

Things to try

Create a source list and ask what can be submitted now versus later.

The Social Security office is closed or you cannot get an appointment.

Things to try

Apply online instead: Social Security publishes an online application for disability benefits at ssa.gov/applyfordisability.
If you cannot get online, dial 211 and ask for help with the next step.

The normal route stalls, gives conflicting instructions, or cannot confirm the next step.

Things to try

Record who said what, when, and through which channel.
Ask what escalation or alternate channel exists, then keep a separate fallback route open.

Where to go — official routes (14)Named offices and services, each with its own source, check date, and published limits.

Verified official route

The Social Security Administration publishes an online application for disability benefits and phone and in-person alternatives. SSA states that some people applying for both SSI and SSDI can start online, and directs others to an office appointment. Whether a person qualifies, what medical evidence is needed, and how long a decision takes are SSA's to answer.

Open the verified official source

Last checked 2026-08-28 · Jurisdiction-neutral · official source: Social Security Administration — Apply Online for Disability Benefits

Verified official route

The Social Security Administration publishes four appeal stages and a deadline on each of the first two. It states: "You have four opportunities to appeal our decision" — reconsideration, a hearing with an administrative law judge, review by the Appeals Council, and a federal district court action — and that "You may choose an attorney or other qualified person to help you with the appeal." For the first stage it states: "Once you receive a decision, submit a request for a disability or non-medical reconsideration within 60 days," and names the form Request for Reconsideration (SSA-561-U2). For the second: "Once you get a reconsideration decision, submit a request for a disability or non-medical hearing within 60 days," naming Request for Hearing by Administrative Law Judge (HA-501). SSA states that on a disability reconsideration "An examiner from a Disability Determination Services (DDS) office in your state will review your request and original application" — in Kentucky that is the Education and Labor Cabinet's DDS programme, a different office from the one that took the application. It publishes hearings as held "online, in person, or by phone." Support is published on 1-800-772-1213, "Monday through Friday, 8 a.m. to 7 p.m., in English, Spanish, and other languages," with TTY on 1-800-325-0778. Read the deadline off your own notice rather than this page — the dated notice controls. If a deadline has already passed, ask SSA in writing to accept a late request and say why it was late; whether it does is SSA's decision under rules No One Left Outside has not verified.

Open the verified official source

Last checked 2026-08-06 · Jurisdiction-neutral · official source: Social Security Administration — Appeal a decision we made

Verified official route

Kentucky Disability Determination Services makes disability decisions for SSI and SSDI. It does not take benefit applications or decide technical eligibility. Apply through a local Social Security office or SSA.gov.

Open the verified official source

Last checked 2026-08-05 · Kentucky · official source: Kentucky Education and Labor Cabinet — Department for Disability Determination Services Program

Verified official route

Kentucky Protection & Advocacy publishes that it "is the designated protection and advocacy system in Kentucky" and that it "protects and promotes the rights of Kentuckians with disabilities through information and referral, technical assistance, education and training, and legal advocacy." It is a division within the Kentucky Department of Public Advocacy. It publishes a local number of 502-564-2967 and a toll-free number of 1-800-372-2988, and an online request form, stating: "You can request assistance from Kentucky Protection & Advocacy by submitting the form below. Someone will respond to your request within 3 business days." It lists current priorities including abuse and neglect, ADA and Section 504, assistive technology, community supports, criminal justice, education, employment, guardianship and rights restoration, health care, and voting rights. Whether P&A takes a particular case, and what it can do about it, are its decisions.

Open the verified official source

Last checked 2026-08-05 · Kentucky · official source: Kentucky Protection & Advocacy — Get Help

Verified official route

Legal Aid Society provides free civil legal help in Jefferson County and fourteen surrounding Kentucky counties (Breckinridge, Bullitt, Grayson, Hardin, Henry, Larue, Marion, Meade, Nelson, Oldham, Shelby, Spencer, Trimble, and Washington). Its published phone intake is (502) 584-1254 or (800) 292-1862, Monday through Thursday, 10 a.m. to 4 p.m.; it states the intake line is closed on Fridays. It also publishes an online intake application available twenty-four hours a day. Legal Aid Society has income limits; ask it whether your household is within them. Whether it can take a specific case is its decision, not something this page establishes.

Open the verified official source

Last checked 2026-08-05 · Kentucky · official source: Legal Aid Society (Louisville) — Frequently Asked Questions

Verified official route

The Postal Service publishes General Delivery as a way to receive mail without a permanent address. Its FAQ states: "General Delivery is a mail service for those without a permanent address, often used as a temporary mailing address." The Domestic Mail Manual sets the rules. Section 508.6.1 states general delivery "is intended primarily as a temporary means of delivery: For transients and customers not permanently located" and for customers wanting Post Office box service when boxes are unavailable. Section 508.6.3 states a "general delivery customer can be required to present suitable identification before mail is given to the customer," and that "Prior to mailing, customers should contact the destination Post Office to determine the authorized facility or facilities and their applicable ZIP Code(s)." Section 508.6.2 states general delivery is normally available at only one facility per Post Office, that "A customer may use only one such location," and that a postmaster may refuse or restrict it "To a customer who is unable to present suitable identification" or where mail volume or accumulation cannot reasonably be accommodated. Section 508.6.4 states "Each general delivery mailpiece is held for no more than 30 days, although a shorter time period may be requested by the sender." Two consequences worth planning around: identification can be required, so this may not solve an address problem for someone who is also missing ID; and a notice with a deadline further out than 30 days can be returned to the sender before it is collected. Call the specific Post Office first — which facility offers it, and what identification that postmaster accepts, are decided locally.

Open the verified official source

Last checked 2026-08-06 · Jurisdiction-neutral · official source: United States Postal Service — Domestic Mail Manual 508.6, General Delivery

Verified official route

SSA’s online disability application is a starting route for disability benefits. The page identifies who may use the online route and phone and in-person alternatives. It is not an SSI application route for every applicant and does not determine whether a reader qualifies.

Open the verified official source

Last checked 2026-08-28 · Jurisdiction-neutral · official source: Social Security Administration — Apply Online for Disability Benefits

Verified official route

SSA lists four appeal opportunities: reconsideration, an administrative-law-judge hearing, Appeals Council review, and federal district court. The person’s dated notice controls the next step and timing.

Open the verified official source

Last checked 2026-08-04 · Jurisdiction-neutral · official source: Social Security Administration — Appeal a Decision

Verified official route

At the hearing-request stage, SSA identifies HA-501, SSA-3441, and SSA-827; SSA-1696 may apply when appointing a representative. These forms are not a universal initial-application checklist.

Open the verified official source

Last checked 2026-08-04 · Jurisdiction-neutral · official source: SSA Form HA-501

Verified official route

A prospective representative payee contacts SSA and completes SSA-11 with identity evidence. SSA—not the applicant or No One Left Outside—decides whether a representative payee is needed.

Open the verified official source

Last checked 2026-08-04 · Jurisdiction-neutral · official source: SSA Representative Payee FAQ

Verified official route

SSA’s SSI application page is the official starting route for Supplemental Security Income and separates adult and child pathways. It does not determine eligibility, establish a filing date for every user, or replace an SSA appointment or confirmation.

Open the verified official source

Last checked 2026-08-05 · Jurisdiction-neutral · official source: Social Security Administration — Apply for SSI

Verified official route

SSA Form 1696 appoints or updates a representative for a matter before SSA. General help with forms is not the same as formal appointment; using the form does not confirm representation, waive fees, or affect the claim outcome.

Open the verified official source

Last checked 2026-08-05 · Jurisdiction-neutral · official source: Social Security Administration — Form SSA-1696

Verified official route

Kentucky CHFS’s Medicare Savings Program page and MAP-205 are starting points for a separate Medicaid-administered Medicare cost-assistance decision. SSI or SSDI status does not establish MSP eligibility, and No One Left Outside does not publish the page’s changeable financial thresholds.

Open the verified official source

Last checked 2026-08-05 · Kentucky · official source: Kentucky CHFS — Medicare Savings Program

Official details not yet verified

The routes above are the ones No One Left Outside has checked against a named source. Other Kentucky and Louisville routes for this situation have not been checked yet — confirm them with the responsible agency or provider.

No official link is published until it is verified. Ask the agency for current instructions.

Official details not yet verified — ask the agency for current instructions · checked 2026-08-01 · Kentucky

Build a handoff packet for a case managerFor a worker, advocate, or outreach team preparing a referral on someone's behalf.

Case manager packet

Build a Applying for SSI or SSDI handoff

[aria-labelledby='packet-builder-heading'] fieldset,[aria-labelledby='packet-builder-heading'] button,[aria-labelledby='packet-builder-heading'] label,[aria-labelledby='packet-builder-heading'] [aria-live]{display:none}Choosing packet sections needs JavaScript. You can open the full printable packet and use your browser's Print menu.

Choose the sections you can review together in under five minutes. The handoff starts with the first action and ends with a fallback. No One Left Outside does not ask for or store a client name, answers, case notes, or checklist progress.

Include in the packet

What to bring or gatherDocument prompts and recovery optionsOfficial sources and formsOwning agencies, source links, and check datesQuestions to confirmUNKNOWN details to ask an agency or providerIf the first route failsBlockers, alternatives, and recovery actions

First action plus 4 selected sections

Document prompts are preparation—not a verified agency checklist. UNKNOWN means “confirm this,” not “no.” A source link does not confirm eligibility or current availability.

Before the appointment ends

1. Name the next official contact.
2. Choose one UNKNOWN to confirm.
3. Agree on a fallback if the first route fails.

Things that may help today

If a health or safety emergency is happening while an application is pending, use the Emergency help panel first — No One Left Outside does not monitor or dispatch help.
Use parallel food, medical, housing, and income-support searches while the claim is unresolved.
Ask a qualified benefits or legal service to review a denial or deadline.

Forms, portals, and instructions by step (26)Official routes with preparation and assistance steps, source dates, and material restrictions.

Documents inside the process

Forms, portals, and instructions by step

Open the route that matches your stage and situation. No One Left Outside preparation guidance explains the connected barriers; the official instructions control submission. This section does not collect answers or submit an application.

Choose the route that matches the benefit
Start an SSI or SSDI claim
Choose this route only when its stage and purpose match your situation. Follow its maintained official instructions and any notice sent to you.
Read the connected journey step
No One Left Outside preparation guidance
1. Missing income, resource or household proof
  Ask the relevant worker which proof applies rather than using a universal checklist. Attend SNAP interview even when evidence is missing and ask DCBS to help. Do not delay SSDI intake solely for missing records; use SSA help. For hospital packets ask financial staff about no-income/no-bank verification and conditional tax/Medicaid evidence.
  Official help for this step
2. Social Security — 800-772-1213; TTY 800-325-0778
  Tell SSA whether applying for an adult or child and whether disability evidence applies. Get help with the actual claim, report, appeal, payee or card task. Ask SSA which office provides that service and whether an appointment is needed before traveling.
  Official help for this step
- Application portalPortalSource check limited Sep 30, 2026
  Supplemental Security Income application route
  Official SSI starting point plus agency help for situation-specific intake and evidence.
  Jurisdiction: United States. Revision / edition: Unknown.
  Who completes it
  Applicant; adult/child and representative circumstances require SSA guidance.
  Gather before opening
  Situation-specific identity, income, resources, living arrangements and disability/child-school evidence; see SSI document guide.
  Access or submission
  Official SSI starting point; SSA phone/local-office assistance; current online eligibility not fully verified
  Signature
  UNKNOWN — current application instructions control.
  Application mode
  Official online starting point; Phone; Agency-assisted intake
  Stage
  Initial SSI application
  Fees and waiver route
  UNKNOWN — no filing fee confirmed in this limited application check.
  Account or appointment
  UNKNOWN — full present-day online account/eligibility flow not verified. UNKNOWN — ask SSA how to arrange intake.
  Before starting
  - Tell SSA whether applying for an adult or child and whether disability evidence applies.
  Application help
  - Social Security — 800-772-1213; TTY 800-325-0778
    Get help with the actual claim, report, appeal, payee or card task. Ask SSA which office provides that service and whether an appointment is needed before traveling.
  Material restrictions
  - Application shell prevented a complete currentness check of online conditions.
  - Do not wait only to gather every document; SSA's document guide explains obtaining help.
  After submitting
  - Keep appointment or submission details and follow requests for proof.
  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.
  Official owner: Social Security Administration. External source conformance was not evaluated; request agency assistance for an inaccessible process. English source read; other versions UNKNOWN.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
- Application portalPortalOfficial destination checked Sep 30, 2026
  Social Security Disability Insurance application route
  Adult SSDI online application instructions and phone/local-office alternatives with an evidence checklist.
  Jurisdiction: United States. Revision / edition: Unknown.
  Who completes it
  Adult applicant; ask SSA about an authorized helper if needed.
  Gather before opening
  Identity, income/tax and work history details; treatment contacts and records already possessed. Do not delay starting solely because evidence is missing; SSA can assist.
  Access or submission
  Adult online disability application when eligible; Phone —800-772-1213; Local office; call to arrange help
  Signature
  UNKNOWN — use SSA's current application attestation/signature instructions.
  Application mode
  Online; Phone; In person
  Stage
  Initial adult SSDI application
  Fees and waiver route
  UNKNOWN — no filing fee stated in checked instructions.
  Account or appointment
  Online transaction conditions vary; no authenticated account flow tested. Call SSA to arrange in-person application assistance.
  Before starting
  - Use initial application route only when appropriate; recent denial may require an appeal.
  Application help
  - Social Security — 800-772-1213; TTY 800-325-0778
    Get help with the actual claim, report, appeal, payee or card task. Ask SSA which office provides that service and whether an appointment is needed before traveling.
  Material restrictions
  - This is not SSI's universal application route.
  - Do not mail foreign birth or DHS immigration identity documents under these instructions; arrange office presentation.
  After submitting
  - Keep online confirmation and follow any request for further information.
  - SSA sends a decision after processing.
  What this does not prove: Official instructions and the person's notice control; an application is not an eligibility or approval decision.
  Official owner: Social Security Administration. External source conformance was not evaluated; request agency assistance for an inaccessible process. English source read; other versions UNKNOWN.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Only after a notice directs reconsideration
Ask for reconsideration
Choose this route only when its stage and purpose match your situation. Follow its maintained official instructions and any notice sent to you.
Read the connected journey step
No One Left Outside preparation guidance
1. Denial received but wrong form or deadline could be used
  Read actual decision notice to identify initial determination, reconsideration, hearing, later review or overpayment issue. Choose corresponding request; update evidence/report/release separately where directed. Distinguish disputing debt, requesting waiver and reducing repayment rate. For MCO dispute, use internal grievance/appeal and obtain tracking number before DMS escalation; preserve time-sensitive notice rights.
  Official help for this step
- Official formConditionalOfficial destination checked Sep 30, 2026
  Social Security Request for Reconsideration (SSA-561)
  Request review of an initial determination at the reconsideration stage; the notice determines the correct route.
  Jurisdiction: United States. Revision / edition: Aug 2025.
  Who completes it
  Claimant or recognized representative.
  Gather before opening
  Decision notice and reasons for disagreement. Medical appeals may also require SSA-827 and updated disability information.
  Access or submission
  Online medical/nonmedical reconsideration route; Mail or deliver to local SSA office; agency page supplies office lookup
  Signature
  Current SSA-561 says claimant signature is optional. Other documents and online attestations have their own requirements.
  Application mode
  Online; Print and mail; In person
  Stage
  Reconsideration after an initial determination
  Fees and waiver route
  UNKNOWN — no filing fee stated in checked form.
  Account or appointment
  Online identity/account requirements vary; paper route is available. UNKNOWN — call SSA for office arrangements.
  Before starting
  - Read the decision notice to confirm stage and deadline.
  Application help
  - Social Security — 800-772-1213; TTY 800-325-0778
    Get help with the actual claim, report, appeal, payee or card task. Ask SSA which office provides that service and whether an appointment is needed before traveling.
  Material restrictions
  - Medical cessation of benefits uses another reconsideration form identified by SSA.
  - A request does not establish timely receipt or a favorable decision.
  After submitting
  - Keep submission confirmation and a copy of the request.
  - Follow SSA evidence requests and decision notice.
  What this does not prove: Official instructions and the person's notice control; an application is not an eligibility or approval decision.
  Official owner: Social Security Administration. External source conformance was not evaluated; request agency assistance for an inaccessible process. English source read; other versions UNKNOWN.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
- Official formConditionalOfficial destination checked Sep 30, 2026
  Social Security Disability Report — Appeal (SSA-3441)
  Update disability, treatment, daily activities, work and education information for an appeal.
  Jurisdiction: United States. Revision / edition: Jul 2026.
  Who completes it
  Claimant or helper who knows the person's updated information; report-completer information does not itself grant representation.
  Gather before opening
  Updated treatment/provider, medicine/test and work/activity information; decision notice identifies appeal stage.
  Access or submission
  Online disability appeal report; Paper with SSA-561 or HA-501 and SSA-827 as instructed
  Signature
  Follow report-completer fields; accompanying SSA-827 and any representative appointment have separate signature requirements.
  Application mode
  Online; Paper with appeal
  Stage
  Update disability evidence during appeal
  Fees and waiver route
  UNKNOWN — no filing fee stated in checked form.
  Account or appointment
  UNKNOWN — online appeal route requirements apply. UNKNOWN — ask SSA about assisted completion.
  Before starting
  - Identify correct appeal request; this report is not the appeal request itself.
  Application help
  - Social Security — 800-772-1213; TTY 800-325-0778
    Get help with the actual claim, report, appeal, payee or card task. Ask SSA which office provides that service and whether an appointment is needed before traveling.
  Material restrictions
  - Use current 07-2026 edition.
  - Helpers should distinguish their completion role from a representative appointment.
  After submitting
  - Retain the report copy and appeal receipt; respond to further evidence requests.
  What this does not prove: Official instructions and the person's notice control; an application is not an eligibility or approval decision.
  Official owner: Social Security Administration. External source conformance was not evaluated; request agency assistance for an inaccessible process. English source read; other versions UNKNOWN.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
- Official formConditionalOfficial destination checked Sep 30, 2026
  Authorization to Disclose Information to Social Security (SSA-827)
  Consent for medical, education and other evidence disclosure to SSA; separate from an application or appeal request.
  Jurisdiction: United States. Revision / edition: Jun 2024.
  Who completes it
  Subject of records or authorized signer permitted by the form.
  Gather before opening
  Authority information for a parent, guardian or other permitted signer when applicable.
  Access or submission
  SSA-directed application/appeal submission; Mail or deliver to local SSA office as directed
  Signature
  Read both pages; subject/authorized signer signs and dates. Follow witness instructions, including an additional witness when signing by X.
  Application mode
  Print/sign; SSA-directed electronic process
  Stage
  Authorize evidence disclosure for a disability claim/appeal
  Fees and waiver route
  UNKNOWN — no filing fee stated in checked form.
  Account or appointment
  UNKNOWN — depends on accompanying claim process. UNKNOWN — ask SSA if signing assistance needed.
  Before starting
  - Understand scope before signing; confirm signer authority.
  Application help
  - Social Security — 800-772-1213; TTY 800-325-0778
    Get help with the actual claim, report, appeal, payee or card task. Ask SSA which office provides that service and whether an appointment is needed before traveling.
  Material restrictions
  - Consent is not appointment of a payee or legal representative.
  - Revocation and form expiration are described in the form; contact SSA for the specific situation.
  After submitting
  - Retain a copy; follow SSA's evidence requests.
  What this does not prove: Official instructions and the person's notice control; an application is not an eligibility or approval decision.
  Official owner: Social Security Administration. External source conformance was not evaluated; request agency assistance for an inaccessible process. English source read; other versions UNKNOWN.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Only after reconsideration
Ask for an administrative-law-judge hearing
Choose this route only when its stage and purpose match your situation. Follow its maintained official instructions and any notice sent to you.
Read the connected journey step
- Official formConditionalOfficial destination checked Sep 30, 2026
  Social Security Request for Hearing by Administrative Law Judge (HA-501)
  Request a hearing after reconsideration; follow the decision notice and the appropriate medical or nonmedical pathway.
  Jurisdiction: United States. Revision / edition: Jun 2022.
  Who completes it
  Claimant or recognized representative.
  Gather before opening
  Reconsideration notice and explanation. For disability, SSA-3441 and SSA-827 as instructed. SSA-1696 if appointing a representative.
  Access or submission
  Online disability/nonmedical hearing request; Signed-in upload option; Mail or deliver paper original to local SSA office; retain copy
  Signature
  Follow HA-501 fields and current submission instructions; related medical release or appointment forms require separate signatures.
  Application mode
  Online; Upload; Print and mail; In person
  Stage
  Hearing after reconsideration
  Fees and waiver route
  UNKNOWN — no filing fee stated in checked instructions.
  Account or appointment
  Sign-in required for upload option; other published routes exist. SSA schedules the actual hearing; office submission arrangements UNKNOWN.
  Before starting
  - Read the reconsideration decision and notice deadline.
  Application help
  - Social Security — 800-772-1213; TTY 800-325-0778
    Get help with the actual claim, report, appeal, payee or card task. Ask SSA which office provides that service and whether an appointment is needed before traveling.
  Material restrictions
  - Current route states 60 days after reconsideration decision; the person's notice and any late-request issue require SSA review.
  - Online, phone or in-person hearing method is determined separately.
  After submitting
  - Keep request confirmation and track hearing status.
  - Follow SSA instructions for evidence and attendance.
  What this does not prove: Official instructions and the person's notice control; an application is not an eligibility or approval decision.
  Official owner: Social Security Administration. External source conformance was not evaluated; request agency assistance for an inaccessible process. English form; agency phone help in English, Spanish and other languages.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Supporting reference — not a standalone appeal route
Appeal instructions and supplemental information
Choose this route only when its stage and purpose match your situation. Follow its maintained official instructions and any notice sent to you.
Read the connected journey step
- Official instructionsSupportingOfficial destination checked Sep 30, 2026
  Social Security appeal stages and instructions
  Choose the appeal stage from the decision notice before selecting a form.
  Jurisdiction: United States. Revision / edition: Unknown.
  Who completes it
  Claimant or recognized representative.
  Gather before opening
  Decision notice, disagreement explanation and any stage-specific updated evidence.
  Access or submission
  Current SSA stage-specific route; online and paper options vary
  Signature
  Depends on the selected appeal stage and accompanying forms.
  Application mode
  Online stage-specific process; Paper where directed; Phone help
  Stage
  Select reconsideration, hearing, Appeals Council or later court review
  Fees and waiver route
  UNKNOWN — later court costs and representation are separate.
  Account or appointment
  UNKNOWN — varies by selected route. UNKNOWN — varies by stage.
  Before starting
  - Read the actual decision notice; determine stage and deadline.
  Application help
  - Social Security — 800-772-1213; TTY 800-325-0778
    Get help with the actual claim, report, appeal, payee or card task. Ask SSA which office provides that service and whether an appointment is needed before traveling.
  Material restrictions
  - An initial disability application is not an appeal.
  - Federal court review requires separate procedural guidance.
  After submitting
  - Retain copies and dated receipt; wait for agency stage-specific notice.
  What this does not prove: Official instructions and the person's notice control; an application is not an eligibility or approval decision.
  Official owner: Social Security Administration. External source conformance was not evaluated; request agency assistance for an inaccessible process. English source read; other versions UNKNOWN.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Optional at the stage SSA permits
Appoint a representative
Choose this route only when its stage and purpose match your situation. Follow its maintained official instructions and any notice sent to you.
Read the connected journey step
No One Left Outside preparation guidance
1. Needs a helper but authority or signature scope is unclear
  Identify whether helper merely reads/completes, receives notices, represents a claim, manages benefits or supplies independent observations. Use MAP-14, SSA-1696 or SSA-11 selection only for that specific authority. Follow adult/child/guardian signature rules on financial release and waiver documents. Preserve independent third-party function observations rather than asking claimant for answers.
  Official help for this step
- Official formOptionalOfficial destination checked Sep 30, 2026
  Social Security Claimant's Appointment of a Representative (SSA-1696)
  Appoint a qualified attorney or nonattorney representative for a pending SSA claim or appeal.
  Jurisdiction: United States. Revision / edition: Dec 2024.
  Who completes it
  Claimant and chosen representative; representative starts electronic appointment when using that method.
  Gather before opening
  Pending claim/appeal identification and representative details; any fee agreement is a separate document.
  Access or submission
  Representative-initiated electronic SSA-1696; Print and mail/fax/deliver to local SSA office
  Signature
  Both claimant and representative sign.
  Application mode
  Electronic with representative; Print and mail/fax; In person
  Stage
  Appoint a representative in a pending claim/appeal
  Fees and waiver route
  Representative fees may apply and require SSA authorization; free representation availability UNKNOWN.
  Account or appointment
  Electronic process has identity/signature steps; exact current account requirements UNKNOWN. UNKNOWN — arrangements with representative and SSA vary.
  Before starting
  - Confirm a pending SSA matter and who will represent the person.
  Application help
  - Social Security — 800-772-1213; TTY 800-325-0778
    Get help with the actual claim, report, appeal, payee or card task. Ask SSA which office provides that service and whether an appointment is needed before traveling.
  Material restrictions
  - This form does not make the representative a payee.
  - Choosing a representative is optional; authorization does not promise a claim outcome.
  After submitting
  - Keep appointment/fee documents and follow SSA communications.
  What this does not prove: Official instructions and the person's notice control; an application is not an eligibility or approval decision.
  Official owner: Social Security Administration. External source conformance was not evaluated; request agency assistance for an inaccessible process. English source read; other versions UNKNOWN.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Conditional — only when payee management applies
If a representative payee is needed
Choose this route only when its stage and purpose match your situation. Follow its maintained official instructions and any notice sent to you.
Read the connected journey step
- Official instructionsConditionalOfficial destination checked Sep 30, 2026
  Social Security representative payee application process (SSA-11)
  Ask SSA to consider selection as payee for someone unable to manage benefits; SSA determines appointment.
  Jurisdiction: United States. Revision / edition: Unknown.
  Who completes it
  Prospective payee, with SSA interview and identity proof.
  Gather before opening
  Prospective payee identity and Social Security number; organization EIN when applicable; agency-requested information.
  Access or submission
  Contact nearest SSA office and complete its SSA-11 process; usually face-to-face
  Signature
  UNKNOWN — complete SSA-11 and interview as SSA directs.
  Application mode
  Agency interview; SSA-directed form
  Stage
  Request SSA selection as representative payee
  Fees and waiver route
  UNKNOWN application fee; individual payees may not charge for serving. Organization fees require SSA authorization.
  Account or appointment
  UNKNOWN — contact local SSA; no public universal PDF represented. Usually face-to-face interview; confirm current arrangements with SSA.
  Before starting
  - SSA must decide the beneficiary needs a payee and select a qualified person.
  Application help
  - Social Security — 800-772-1213; TTY 800-325-0778
    Get help with the actual claim, report, appeal, payee or card task. Ask SSA which office provides that service and whether an appointment is needed before traveling.
  Material restrictions
  - Power of attorney or a joint bank account alone does not make someone SSA payee.
  - Payee selection differs from appointing an appeal representative.
  After submitting
  - SSA notifies its selection; appointment creates benefit-management duties.
  What this does not prove: Official instructions and the person's notice control; an application is not an eligibility or approval decision.
  Official owner: Social Security Administration. External source conformance was not evaluated; request agency assistance for an inaccessible process. English source read; other versions UNKNOWN.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Separate Kentucky benefits branch
For a Medicaid or Medicare Savings Program option named on MAP-205
Choose this route only when its stage and purpose match your situation. Follow its maintained official instructions and any notice sent to you.
Read the connected journey step
No One Left Outside preparation guidance
1. DCBS application help — 855-306-8959
  Confirm this application fits the person's Medicaid category and requested services. Program intake, document questions and arrangements when unable to visit; agency must confirm representative authority.
  Official help for this step
2. Find a kynector
  Confirm this application fits the person's Medicaid category and requested services. Use the maintained agency guide to locate certified benefit application assistance; local availability UNKNOWN.
  Official help for this step
- Official formConditionalOfficial destination checked Sep 30, 2026
  Kentucky Application for Medicaid or Medicare Savings Programs (MAP-205)
  Paper application covering specified Medicaid and Medicare Savings contexts; select the correct program with DCBS.
  Jurisdiction: Kentucky. Revision / edition: Mar 2024.
  Who completes it
  Applicant or recognized authorized representative.
  Gather before opening
  Applicable income, insurance and resource evidence; authorized representative proof if used. Extra waiver/LTC evidence depends on requested program.
  Access or submission
  Local DCBS office; Agency fax routes stated on MAP-205; confirm case destination
  Signature
  Applicant/representative signs application certification; representative authority requires MAP-14 or applicable legal documentation.
  Application mode
  Print; Local DCBS; Fax where instructed
  Stage
  Program-specific Medicaid/MSP paper intake
  Fees and waiver route
  UNKNOWN — no application fee stated in checked form.
  Account or appointment
  Paper route does not state account requirement. UNKNOWN — contact DCBS if unable to attend.
  Before starting
  - Confirm this application fits the person's Medicaid category and requested services.
  Application help
  - DCBS application help — 855-306-8959
    Program intake, document questions and arrangements when unable to visit; agency must confirm representative authority.
  - Find a kynector
    Use the maintained agency guide to locate certified benefit application assistance; local availability UNKNOWN.
  Material restrictions
  - MAP-205 includes aged/blind/disabled context and is not every Medicaid/KCHIP pathway.
  - January2026 waiver guide says mailed waiver-supportive Medicaid intake is not accepted; confirm method for that task.
  After submitting
  - Keep submission copy and follow agency proof/decision requests.
  What this does not prove: Official instructions and the person's notice control; an application is not an eligibility or approval decision.
  Official owner: Kentucky Cabinet for Health and Family Services. External source conformance was not evaluated; request agency assistance for an inaccessible process. English source read; other versions UNKNOWN.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Address-continuity conditional
If no permanent address is available for SSA mail
Choose this route only when its stage and purpose match your situation. Follow its maintained official instructions and any notice sent to you.
Read the connected journey step
No One Left Outside preparation guidance
1. USPS General Delivery rules
  Confirm authorized facility, correct ZIP, identification and pickup rules before addressing mail. Use official rules when asking destination Post Office about service.
  Official help for this step
- Official instructionsConditionalOfficial destination checked Sep 30, 2026
  USPS General Delivery instructions
  Temporary mail-receiving route for people without a permanent address, subject to the destination Post Office's instructions.
  Jurisdiction: United States; Post Office availability must be confirmed. Revision / edition: Unknown.
  Who completes it
  Mail recipient arranging service with the destination Post Office.
  Gather before opening
  Suitable identification may be required; exact local accepted documents UNKNOWN.
  Access or submission
  Ask destination Post Office which General Delivery facility and ZIP to use before sending mail
  Signature
  UNKNOWN — local identification and collection procedures control.
  Application mode
  Local Post Office arrangement
  Stage
  Arrange temporary mail receipt
  Fees and waiver route
  UNKNOWN — checked DMM section does not establish charges for every arrangement.
  Account or appointment
  No online account requirement stated in checked section. UNKNOWN — local office pickup arrangements control.
  Before starting
  - Confirm authorized facility, correct ZIP, identification and pickup rules before addressing mail.
  Application help
  - USPS General Delivery rules
    Use official rules when asking destination Post Office about service.
  Material restrictions
  - Postmaster may refuse service where identity is insufficient or volume cannot reasonably be handled.
  - General Delivery is not durable housing or universal residency proof.
  After submitting
  - Collect mail within the local hold period; DMM ordinarily limits hold to30 days unless sender directs less.
  What this does not prove: Official instructions and the person's notice control; an application is not an eligibility or approval decision.
  Official owner: United States Postal Service. External source conformance was not evaluated; request agency assistance for an inaccessible process. English source read; other versions UNKNOWN.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Conditional route — use the purpose and restrictions below
Initial or increased compensation claim
Signed initial/increased disability compensation claim with the current evidence notice; previously denied issues use decision-review pathways.
Read the connected journey step
No One Left Outside preparation guidance
1. VA official form and assistance links
  Confirm whether this is a new/increased claim or a review of a previously denied issue. Obtain current claim instructions and recognized help.
  Official help for this step
- Official formConditionalOfficial destination checked Sep 30, 2026
  VA Disability Compensation and Related Benefits Application (21-526EZ)
  Signed initial/increased disability compensation claim with the current evidence notice; previously denied issues use decision-review pathways.
  Jurisdiction: United States. Revision / edition: Jan 2026.
  Who completes it
  Veteran or VA-recognized representative as allowed.
  Gather before opening
  Evidence of claimed disability, service connection and treatment; private-record releases and other supplements when relevant.
  Access or submission
  VA online disability claim; Mail to Evidence Intake Center, PO Box4444, Janesville WI53547-4444
  Signature
  Complete and sign the claim; follow representative/signing instructions and separate evidence authorizations.
  Application mode
  Online; Print and mail
  Stage
  Initial or increased compensation claim
  Fees and waiver route
  UNKNOWN — application fee not established by checked form; representative terms must be confirmed separately.
  Account or appointment
  VA sign-in enables online saved/prefilled application; no account flow exercised. UNKNOWN — ask VA/recognized representative about assistance.
  Before starting
  - Confirm whether this is a new/increased claim or a review of a previously denied issue.
  Application help
  - VA official form and assistance links
    Obtain current claim instructions and recognized help.
  Material restrictions
  - Supplemental claim, higher-level review and Board appeal are separate forms.
  - Do not infer benefit eligibility or promise acceptance from a completed application.
  After submitting
  - Keep submission confirmation and respond to VA requests.
  What this does not prove: Official instructions and the person's notice control; an application is not an eligibility or approval decision.
  Official owner: Department of Veterans Affairs. External source conformance was not evaluated; request agency assistance for an inaccessible process. English source read; other versions UNKNOWN.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Conditional route — use the purpose and restrictions below
Apply for Medicaid support and a separate waiver determination
Separate Medicaid and waiver steps with current waiver-specific evidence and assisted intake routes.
Read the connected journey step
No One Left Outside preparation guidance
1. Clinical certification required before waiver review
  Ask ADRC/CMHC which waiver fits and whether Medicaid is approved or pending. Use current waiver-specific evidence list. Arrange eligible practitioner to complete MAP-10 when required and obtain relevant diagnosis/function reports. Follow DMS review notice and preserve copies.
  Official help for this step
2. Aging and Disability Resource Center — 877-925-0037
  Select the waiver fitting the person's needs. Connect to area aging/disability staff; current waiver guide identifies ADRC intake assistance.
  Official help for this step
- Official instructionsConditionalOfficial destination checked Sep 30, 2026
  Kentucky HCBS waiver application instructions
  Separate Medicaid and waiver steps with current waiver-specific evidence and assisted intake routes.
  Jurisdiction: Kentucky. Revision / edition: Jan 13, 2026.
  Who completes it
  Applicant/helper with Medicaid staff and waiver intake assistance; clinical evidence must come from appropriate sources.
  Gather before opening
  Helpful Medicaid identity, income/resource and insurance evidence. Waiver-specific diagnoses, functional assessment or clinical reports; consult the current guide. MAP-10 when the selected waiver requires it.
  Access or submission
  Waiver-supportive Medicaid: online, DCBS phone 855-306-8959 or local DCBS; Waiver application: online kynect or in-person ADRC/CMHC
  Signature
  Application attestation and Medicaid signature vary by route; MAP-10 has a separate practitioner signature.
  Application mode
  Online; DCBS phone for Medicaid; In-person ADRC/CMHC for waiver
  Stage
  Apply for Medicaid support and a separate waiver determination
  Fees and waiver route
  UNKNOWN — service cost share and eligibility are agency decisions.
  Account or appointment
  Current state sign-in account for online kynect; in-person help is published. UNKNOWN — arrange ADRC/CMHC intake before traveling.
  Before starting
  - Select the waiver fitting the person's needs.
  - Medicaid may be approved or pending when applying for waiver.
  Application help
  - Aging and Disability Resource Center — 877-925-0037
    Connect to area aging/disability staff; current waiver guide identifies ADRC intake assistance.
  - DCBS application help — 855-306-8959
    Program intake, document questions and arrangements when unable to visit; agency must confirm representative authority.
  Material restrictions
  - January2026 guide expressly says mailed applications are not accepted for these listed intake steps.
  - A waiver application does not establish an available slot or approval.
  - Do not use a single clinical checklist for all seven waivers.
  After submitting
  - DMS reviews and sends next-step/requirement notice.
  - Follow evidence and waiver-program instructions.
  What this does not prove: Official instructions and the person's notice control; an application is not an eligibility or approval decision.
  Official owner: Kentucky Cabinet for Health and Family Services. External source conformance was not evaluated; request agency assistance for an inaccessible process. English source read; other versions UNKNOWN.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Conditional route — use the purpose and restrictions below
Clinical evidence before waiver review
Clinical recommendation supplied by an eligible practitioner for waiver processes that require MAP-10.
Read the connected journey step
- Supporting documentConditionalConfirm current edition or status; source checked Sep 30, 2026
  Kentucky Waiver Services Physician's Recommendation (MAP-10)
  Clinical recommendation supplied by an eligible practitioner for waiver processes that require MAP-10.
  Jurisdiction: Kentucky. Revision / edition: Jun 2015.
  Who completes it
  Authorized practitioner for the selected waiver; applicant/helper arranges the request.
  Gather before opening
  Patient diagnoses and waiver recommendation; other clinical reports vary by waiver.
  Access or submission
  Return to the requestor identified on the form; include in agency-directed waiver evidence
  Signature
  Practitioner signs and dates recommendation and provides identifying/NPI information.
  Application mode
  Practitioner-completed paper support
  Stage
  Clinical evidence before waiver review
  Fees and waiver route
  UNKNOWN — practitioner appointment/document charges not verified.
  Account or appointment
  No account requirement stated on this form. A practitioner review may be necessary; availability UNKNOWN.
  Before starting
  - Determine whether selected waiver requires MAP-10 and which practitioner may complete it.
  Application help
  - Aging and Disability Resource Center — 877-925-0037
    Connect to area aging/disability staff; current waiver guide identifies ADRC intake assistance.
  Material restrictions
  - Old printed edition is currently linked; follow current waiver guide and agency acceptance instructions.
  - The form alone is not a waiver application or approval.
  After submitting
  - Return signed recommendation to named requestor and keep a copy.
  What this does not prove: Official instructions and the person's notice control; an application is not an eligibility or approval decision.
  Official owner: Kentucky Cabinet for Health and Family Services. External source conformance was not evaluated; request agency assistance for an inaccessible process. English source read; other versions UNKNOWN.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Conditional route — use the purpose and restrictions below
Select caregiver service or conditional financial support
Ask local aging staff which caregiver information, training, respite or grandparent-support program fits.
Read the connected journey step
No One Left Outside preparation guidance
1. Caregiver programs
  Explain caregiving relationship and needs; staff selects applicable program. Use the official program distinctions before requesting local intake.
  Official help for this step
- Official instructionsConditionalOfficial destination checked Sep 30, 2026
  Kentucky caregiver support intake instructions
  Ask local aging staff which caregiver information, training, respite or grandparent-support program fits.
  Jurisdiction: Kentucky. Revision / edition: Unknown.
  Who completes it
  Caregiver with local AAAIL staff.
  Gather before opening
  UNKNOWN — caregiver/recipient relationship, age, income or custody evidence depends on selected program.
  Access or submission
  Contact local Area Agency on Aging and Independent Living; ADRC can route inquiry
  Signature
  UNKNOWN — service/grant application depends on selected program.
  Application mode
  Staff-assisted local intake
  Stage
  Select caregiver service or conditional financial support
  Fees and waiver route
  UNKNOWN — grants, vouchers, respite and any cost share depend on program and resources.
  Account or appointment
  No account requirement established. UNKNOWN — local intake and service capacity require confirmation.
  Before starting
  - Explain caregiving relationship and needs; staff selects applicable program.
  Application help
  - Aging and Disability Resource Center — 877-925-0037
    Connect to area aging/disability staff; current waiver guide identifies ADRC intake assistance.
  - Caregiver programs
    Use the official program distinctions before requesting local intake.
  Material restrictions
  - Grant/voucher and respite availability are not promised.
  - Do not combine National Family Caregiver and Kentucky grandparent eligibility rules.
  After submitting
  - Follow local assessment/document requests and service decision.
  What this does not prove: Official instructions and the person's notice control; an application is not an eligibility or approval decision.
  Official owner: Kentucky Cabinet for Health and Family Services. External source conformance was not evaluated; request agency assistance for an inaccessible process. English source read; other versions UNKNOWN.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Conditional route — use the purpose and restrictions below
Initial adult disability report
Initial adult disability evidence report identifying condition, treatment, medicines, work/education and people who can help.
Read the connected journey step
No One Left Outside preparation guidance
1. Limited English, reading or disability access
  Request program-published interpreter, alternate communication or reasonable assistance. Use the official translated form where available, checking its edition independently. For SSA reports, complete known answers and call requesting office for help. For GED testing accommodations, request approval before assuming practice arrangements transfer to the exam.
  Official help for this step
- Supporting documentConditionalConfirm current edition or status; source checked Sep 30, 2026
  Social Security Disability Report — Adult (SSA-3368-BK)
  Initial adult disability evidence report identifying condition, treatment, medicines, work/education and people who can help.
  Jurisdiction: United States. Revision / edition: Jun 2024.
  Who completes it
  Claimant or knowledgeable friend/family helper. Form expressly says not to ask healthcare provider to complete it.
  Gather before opening
  Provider/contact, treatment, medicine, education and five-year work details. SSA can request medical records after appropriate consent; no universal requirement to buy copies.
  Access or submission
  Send or bring to requesting/local SSA office; follow letter; Adult online application route may collect report information
  Signature
  Section12 asks completer identity and date; no separate handwritten signature located. Accompanying claim/releases have their own requirements.
  Application mode
  Paper report; Online claim when applicable; Agency-assisted completion
  Stage
  Initial adult disability report
  Fees and waiver route
  UNKNOWN — no filing fee stated in checked form.
  Account or appointment
  UNKNOWN for online transaction; paper report states no account requirement. UNKNOWN — request office help.
  Before starting
  - Match report to the person's initial claim and request letter.
  Application help
  - Social Security — 800-772-1213; TTY 800-325-0778
    Get help with the actual claim, report, appeal, payee or card task. Ask SSA which office provides that service and whether an appointment is needed before traveling.
  Material restrictions
  - Report is distinct from the benefit application and SSA-827 consent.
  - Old printed dollar questions do not establish present-day eligibility.
  - Do not ask doctor/hospital to complete this claimant report.
  After submitting
  - Return report to requesting office and keep a copy.
  - Follow additional evidence requests.
  What this does not prove: Follow the requesting agency and notice; evidence report alone is not an application, appeal or approval.
  Official owner: Social Security Administration. PDF conformance not evaluated. Use requesting-office help for inaccessible forms or inability to complete them. English form read; request SSA language help.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Conditional route — use the purpose and restrictions below
Requested work-history evidence
Describe jobs and their physical/mental requirements in the five years before inability to work, when disability staff request it.
Read the connected journey step
- Supporting documentConditionalConfirm current edition or status; source checked Sep 30, 2026
  Social Security Work History Report (SSA-3369-BK)
  Describe jobs and their physical/mental requirements in the five years before inability to work, when disability staff request it.
  Jurisdiction: United States. Revision / edition: Jul 2026.
  Who completes it
  Claimant or knowledgeable helper, with completed-report identity/date fields.
  Gather before opening
  Job names/dates, duties, tools, interaction, exertion/environment and impairment effect; use remembered information and mark unknowns as instructed.
  Access or submission
  Send or bring to the state disability agency that requested report; not the generic Baltimore comments address
  Signature
  Section4 asks report completer and date; no separate signature located; requesting-office instructions control.
  Application mode
  Paper report; Requesting-office assistance
  Stage
  Requested work-history evidence
  Fees and waiver route
  UNKNOWN — no filing fee stated in checked form.
  Account or appointment
  No account stated for paper report; any electronic route UNKNOWN. UNKNOWN — requesting office can discuss help.
  Before starting
  - Use request letter's office, return route and deadline.
  - Prepare jobs in five years before inability to work.
  Application help
  - Social Security — 800-772-1213; TTY 800-325-0778
    Get help with the actual claim, report, appeal, payee or card task. Ask SSA which office provides that service and whether an appointment is needed before traveling.
  Material restrictions
  - Do not send report to time-burden comments address.
  - Do not invent answers when memory is incomplete.
  - Current PDF contains a purpose-text anomaly in its Privacy Act paragraph.
  After submitting
  - Keep copy and submission evidence; return to requesting state agency.
  What this does not prove: Follow the requesting agency and notice; evidence report alone is not an application, appeal or approval.
  Official owner: Social Security Administration. PDF conformance not evaluated. Use requesting-office help for inaccessible forms or inability to complete them. English form read; request SSA language help.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Conditional route — use the purpose and restrictions below
Requested claimant functional evidence
Claimant account of daily activities and abilities requested for disability review.
Read the connected journey step
- Supporting documentConditionalOfficial destination checked Sep 30, 2026
  Social Security Function Report — Adult (SSA-3373-BK)
  Claimant account of daily activities and abilities requested for disability review.
  Jurisdiction: United States. Revision / edition: Aug 2026.
  Who completes it
  Claimant or helper reporting claimant's activities; form says not doctor/hospital.
  Gather before opening
  Activity/ability information and help received; exact additional evidence depends on request.
  Access or submission
  Return to office that requested it using supplied letter instructions
  Signature
  Completer name/address/date fields on last page; no separate signature located. Follow request letter.
  Application mode
  Paper report; Requesting-office assistance
  Stage
  Requested claimant functional evidence
  Fees and waiver route
  UNKNOWN — no filing fee stated in checked form.
  Account or appointment
  No account stated for paper; electronic route UNKNOWN. UNKNOWN — call requesting office for help.
  Before starting
  - Read requesting letter and provide specific activity/ability information.
  Application help
  - Social Security — 800-772-1213; TTY 800-325-0778
    Get help with the actual claim, report, appeal, payee or card task. Ask SSA which office provides that service and whether an appointment is needed before traveling.
  Material restrictions
  - Report is not a medical provider form.
  - Distinguish this self-report from third-partySSA-3380.
  - Do not leave unknown/not-applicable responses blank contrary to form instructions.
  After submitting
  - Keep copy and return to requesting office by notice instructions.
  What this does not prove: Follow the requesting agency and notice; evidence report alone is not an application, appeal or approval.
  Official owner: Social Security Administration. PDF conformance not evaluated. Use requesting-office help for inaccessible forms or inability to complete them. English form read; request SSA language help.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Conditional route — use the purpose and restrictions below
Requested third-party functional evidence
A third party describes their own knowledge of the claimant's daily activities and abilities.
Read the connected journey step
- Supporting documentConditionalConfirm current edition or status; source checked Sep 30, 2026
  Social Security Function Report — Adult, Third Party (SSA-3380-BK)
  A third party describes their own knowledge of the claimant's daily activities and abilities.
  Jurisdiction: United States. Revision / edition: Aug 2026.
  Who completes it
  Third party with direct knowledge. Form expressly says not to ask the claimant to provide the answers or ask doctor/hospital to complete it.
  Gather before opening
  Third party's own observed activity/ability information and relationship details.
  Access or submission
  Return to office that requested it using supplied letter instructions
  Signature
  Completer name/address/date fields; no separate signature located. Follow agency request.
  Application mode
  Third-party paper report; Requesting-office help
  Stage
  Requested third-party functional evidence
  Fees and waiver route
  UNKNOWN — no filing fee stated in checked form.
  Account or appointment
  No account stated for paper; electronic route UNKNOWN. UNKNOWN — contact requesting office if help needed.
  Before starting
  - Third party should report what they know independently.
  Application help
  - Social Security — 800-772-1213; TTY 800-325-0778
    Get help with the actual claim, report, appeal, payee or card task. Ask SSA which office provides that service and whether an appointment is needed before traveling.
  Material restrictions
  - Do not fill claimant's self-report in place of independent observations.
  - Mixed 07/08-2026dates and permitted12-2023stock are edition cautions, not automatic invalidity.
  After submitting
  - Keep copy and return by supplied instructions.
  What this does not prove: Follow the requesting agency and notice; evidence report alone is not an application, appeal or approval.
  Official owner: Social Security Administration. PDF conformance not evaluated. Use requesting-office help for inaccessible forms or inability to complete them. English form read; request SSA language help.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Conditional route — use the purpose and restrictions below
Appeals Council review after ALJ action
Request Appeals Council review after an Administrative Law Judge decision or dismissal.
Read the connected journey step
- Official formConditionalOfficial destination checked Sep 30, 2026
  Social Security Request for Review of Hearing Decision/Order (HA-520)
  Request Appeals Council review after an Administrative Law Judge decision or dismissal.
  Jurisdiction: United States. Revision / edition: Sep 2026.
  Who completes it
  Claimant or authorized filer; representative section when applicable.
  Gather before opening
  Hearing decision/order and reasons; additional evidence/argument relating to relevant period; extension request if needed.
  Access or submission
  Online Appeals Council route linked by SSA; Mail signed original to SSA Office of Appellate Operations, 6401 Security Blvd,BaltimoreMD21235-6401; Take/mail to local SSA office; keep copy
  Signature
  Claimant signs/dates; representative should sign. Instructions say not to delay filing solely for representative signature.
  Application mode
  Online; Print/mail; Local SSA office
  Stage
  Appeals Council review after ALJ action
  Fees and waiver route
  UNKNOWN — no filing fee stated in checked form.
  Account or appointment
  UNKNOWN for online route; paper route published. UNKNOWN — contact SSA for assistance.
  Before starting
  - Read hearing decision/order and deadline; determine correct review stage.
  Application help
  - Social Security — 800-772-1213; TTY 800-325-0778
    Get help with the actual claim, report, appeal, payee or card task. Ask SSA which office provides that service and whether an appointment is needed before traveling.
  Material restrictions
  - Not the initial reconsideration or hearing request.
  - Do not delay solely to obtain representative signature.
  - No individual deadline calculated by No One Left Outside.
  After submitting
  - Keep submission confirmation and copies.
  - Provide additional evidence/argument or request extension as instructed.
  What this does not prove: Follow decision notice's deadline and appeal rights; do not use for objecting to a recommended decision.
  Official owner: Social Security Administration. PDF conformance not evaluated. Use requesting-office help for inaccessible forms or inability to complete them. English form read; request SSA language help.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Conditional route — use the purpose and restrictions below
Request overpayment repayment waiver
Ask SSA whether repayment can be waived for lack of fault and hardship/unfairness; distinguish this from disputing debt or changing repayment rate.
Read the connected journey step
- Official formConditionalOfficial destination checked Sep 30, 2026
  Social Security Request for Waiver of Overpayment Recovery (SSA-632-BK)
  Ask SSA whether repayment can be waived for lack of fault and hardship/unfairness; distinguish this from disputing debt or changing repayment rate.
  Jurisdiction: United States. Revision / edition: Jun 2025.
  Who completes it
  Overpaid person/helper; child/legal-guardian signature rules differ. Financial authorization for capable adult requires their signature even with representative payee.
  Gather before opening
  Overpayment notice, explanation and situation-specific household financial/resource/income/expense evidence; follow current form.
  Access or submission
  Signed-in completion/upload; Fax or mail to local SSA office; Agency appointment/phone help; form identifies certain small-overpayment phone cases
  Signature
  Complete and sign statements on pages8and9 under specified adult/child/guardian rules; follow financial-record authorization choices.
  Application mode
  Signed-in form/upload; Paper fax/mail; Agency assistance
  Stage
  Request overpayment repayment waiver
  Fees and waiver route
  UNKNOWN — no filing fee stated in checked form.
  Account or appointment
  Sign-in for online upload/appointment option; paper/phone alternatives published. Agency appointment option exists; availability UNKNOWN.
  Before starting
  - Read overpayment notice and distinguish waiver from reconsideration/rate change.
  - Current form routes certain requests of$2,000or less to phone help.
  Application help
  - Social Security — 800-772-1213; TTY 800-325-0778
    Get help with the actual claim, report, appeal, payee or card task. Ask SSA which office provides that service and whether an appointment is needed before traveling.
  Material restrictions
  - No promise of waiver or collection treatment for a particular case.
  - Financial authorization signature is not automatically replaced by representative payee signature.
  - Older combined waiver/rate PDF is superseded for this candidate.
  After submitting
  - Keep confirmation and follow SSA waiver evidence/decision instructions.
  What this does not prove: A waiver is distinct from disagreeing with overpayment amount or requesting a smaller monthly recovery.
  Official owner: Social Security Administration. PDF conformance not evaluated. Use requesting-office help for inaccessible forms or inability to complete them. English form read; request SSA language help.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Conditional route — use the purpose and restrictions below
Request lower monthly repayment/withholding
Request an affordable withholding/repayment rate where current recovery prevents necessary living expenses.
Read the connected journey step
- Official formConditionalOfficial destination checked Sep 30, 2026
  Social Security Request for Change in Overpayment Recovery Rate (SSA-634)
  Request an affordable withholding/repayment rate where current recovery prevents necessary living expenses.
  Jurisdiction: United States. Revision / edition: Dec 2023.
  Who completes it
  Overpaid person or helper with indicated relationship; agency confirms authority.
  Gather before opening
  Current financial statement and supporting rent/bill/bank/income evidence generally no older than3 months under form instructions.
  Access or submission
  Send or bring to local SSA office; online route availability varies
  Signature
  UNKNOWN — no separate signature field located in checked extraction; follow current SSA submission/certification instructions.
  Application mode
  Paper/local SSA; Agency assistance
  Stage
  Request lower monthly repayment/withholding
  Fees and waiver route
  UNKNOWN — no filing fee stated in checked form.
  Account or appointment
  No account stated for paper; full online transaction UNKNOWN. UNKNOWN — request SSA help.
  Before starting
  - Read repayment notice and determine proposed affordable amount.
  Application help
  - Social Security — 800-772-1213; TTY 800-325-0778
    Get help with the actual claim, report, appeal, payee or card task. Ask SSA which office provides that service and whether an appointment is needed before traveling.
  Material restrictions
  - Does not waive debt or challenge overpayment amount.
  - Agency determines appropriate recovery rate.
  - Exact current signature/online attestation remains UNKNOWN.
  After submitting
  - Keep request copy and follow SSA rate decision.
  What this does not prove: Follow the requesting agency and notice; evidence report alone is not an application, appeal or approval.
  Official owner: Social Security Administration. PDF conformance not evaluated. Use requesting-office help for inaccessible forms or inability to complete them. English form read; request SSA language help.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Conditional route — use the purpose and restrictions below
Referral before application/eligibility review
Start a staff-assisted vocational rehabilitation referral and record accommodation needs.
Read the connected journey step
No One Left Outside preparation guidance
1. Kentucky OVR local-office lookup
  Contact localOVRoffice; explain work goal, disability and accommodations. Find office serving county and schedule counselor appointment; request accommodations.
  Official help for this step
- Official formConditionalOfficial destination checked Sep 30, 2026
  Kentucky OVR1 Referral for OVR Services (OVR1)
  Start a staff-assisted vocational rehabilitation referral and record accommodation needs.
  Jurisdiction: Kentucky. Revision / edition: Jan 15, 2026.
  Who completes it
  Applicant withOVRcounselor/staff assistance; office-only fields are completed by agency.
  Gather before opening
  UNKNOWN — counselor identifies case-specific disability, employment and other evidence.
  Access or submission
  Contact county-servingOVRoffice; counselor directs completion/submission.
  Signature
  No signature field located on referral; staff referral/case fields. Later application is separate.
  Application mode
  Counselor/staff-assisted referral
  Stage
  Referral before application/eligibility review
  Fees and waiver route
  UNKNOWN — fee not stated for referral.
  Account or appointment
  No public account requirement established. Official public instructions require appointment to determine eligibility.
  Before starting
  - Contact localOVRoffice; explain work goal, disability and accommodations.
  Application help
  - Kentucky OVR local-office lookup
    Find office serving county and schedule counselor appointment; request accommodations.
  Material restrictions
  - Referral permitsN/A for undisclosedSSN.
  - Referral is not approval or authorization.
  - Exact document/fee requirements UNKNOWN.
  After submitting
  - Office arranges application meeting and eligibility review.
  What this does not prove: Speak withOVRstaff before completing/submitting; counselor determines eligibility and must authorize services.
  Official owner: Kentucky Office of Vocational Rehabilitation. OVR requests PDF completion inAdobe and staff technical help; request accommodations/interpreters/alternate formats. English form reviewed; askOVR for language help.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Conditional route — use the purpose and restrictions below
Application and eligibility review after referral
Apply for vocational rehabilitation with a counselor and record intent to work.
Read the connected journey step
- Official formConditionalConfirm current edition or status; source checked Sep 30, 2026
  Kentucky OVR2 Application for Services (OVR2)
  Apply for vocational rehabilitation with a counselor and record intent to work.
  Jurisdiction: Kentucky. Revision / edition: Nov 2025.
  Who completes it
  Applicant withOVRcounselor/staff assistance; office-only fields are completed by agency.
  Gather before opening
  UNKNOWN — counselor identifies case-specific disability, employment and other evidence.
  Access or submission
  Contact county-servingOVRoffice; counselor directs completion/submission.
  Signature
  Applicant and counselor signatures; parent/legal guardian/POAsignature if applicable. Signature states intent to work in competitive integrated employment.
  Application mode
  Counselor-assisted paper application
  Stage
  Application and eligibility review after referral
  Fees and waiver route
  UNKNOWN — application fee not stated; service financial participation not established.
  Account or appointment
  No public account requirement established. Arrange counselor appointment.
  Before starting
  - Schedule localOVR appointment; discuss disability/work/education/benefit information.
  Application help
  - Kentucky OVR local-office lookup
    Find office serving county and schedule counselor appointment; request accommodations.
  Material restrictions
  - Download alone does not authorize services.
  - Authority of helper/guardian must be established.
  - Printed revision differs fromPDFmetadata.
  After submitting
  - Counselor determines eligibility and authorizes services; keep contact details current.
  What this does not prove: Speak withOVRstaff before completing/submitting; counselor determines eligibility and must authorize services.
  Official owner: Kentucky Office of Vocational Rehabilitation. OVR requests PDF completion inAdobe and staff technical help; request accommodations/interpreters/alternate formats. English form reviewed; askOVR for language help.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Conditional route — use the purpose and restrictions below
InitialExtraHelp request unless automatically eligible
Apply for drug-cost assistance throughSSA; Medicare prescription-plan enrollment is separate.
Read the connected journey step
- Official formConditionalOfficial destination checked Sep 30, 2026
  Social Security Extra Help with Medicare prescription drug costs (SSA-1020B-OCR-SM)
  Apply for drug-cost assistance throughSSA; Medicare prescription-plan enrollment is separate.
  Jurisdiction: United States. Revision / edition: Jan 2026.
  Who completes it
  Applicant/spouse when applicable; helper completesSectionB.
  Gather before opening
  Gather bank/tax/retirement/pension/VAfinancial information for answers. Paper packet says send no additional enclosures;SSArequests more if needed.
  Access or submission
  SSAofficial onlineExtraHelp application; Mail signed packet alone: SSAWilkes-BarreDirectOperationsCenter,POBox1020,Wilkes-BarrePA18767-9910; ArrangeSSAapplication appointment
  Signature
  Sign/dateSectionA including applying spouse as applicable; representative may sign if applicant cannot. Helper detailsSectionB.
  Application mode
  Online; Signed paper/mail; SSAappointment
  Stage
  InitialExtraHelp request unless automatically eligible
  Fees and waiver route
  UNKNOWN — application fee not stated.
  Account or appointment
  Paper requires no account; current full online flow UNKNOWN. Call800-772-1213orTTY800-325-0778 to arrange assisted application.
  Before starting
  - Check automatic eligibility; gather applicant/spouse financial information.
  Application help
  - Social Security — 800-772-1213; TTY 800-325-0778
    Get help with the actual claim, report, appeal, payee or card task. Ask SSA which office provides that service and whether an appointment is needed before traveling.
  Material restrictions
  - PartD enrollment is separate.
  - SSA/state determine financial eligibility.
  - Do not enclose extra documents with paper packet.
  After submitting
  - SSA sends qualification letter; state may contact applicant aboutMSP referral unless opted out.
  What this does not prove: Some Medicare/SSI/Medicaid recipients automatically qualify and should not file this packet; confirm withSSA. Application does not enrollPartD.
  Official owner: Social Security Administration. PDF/web accessibility conformance not evaluated; assistance route shown. English instructions read; ask agency for language assistance.
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet
Conditional route — use the purpose and restrictions below
Recover requested income evidence
Recover a tax transcript when the receiving agency asks for that evidence; the IRS also provides online and telephone transcript routes.
Read the connected journey step
No One Left Outside preparation guidance
1. IRS transcript options and assistance
  Confirm transcript type with the receiving agency. Official transcript types, telephone route and distinction from paid full-return copies.
  Official help for this step
- Supporting documentConditionalOfficial destination checked Sep 30, 2026
  Request for Transcript of Tax Return (4506-T)
  Recover a tax transcript when the receiving agency asks for that evidence; the IRS also provides online and telephone transcript routes.
  Jurisdiction: United States (federal program). Revision / edition: Apr 2025.
  Who completes it
  The applicant or an authorized requester, as the official process allows.
  Gather before opening
  Select the requested transcript type and tax year. Official form requests tax identity and current/previous address; No One Left Outside does not collect those answers. Ask the receiving agency which evidence it accepts before ordering.
  Access or submission
  Mail or fax using the current form chart for transcript type and the state where the return was filed; Official IRS transcript online route; 800-908-9946 for tax return/account transcripts
  Signature
  Taxpayer or authorized signer signs only after applicable lines are complete. IRS must receive paper form within 120 days of signature.
  Application mode
  Paper by mail/fax; Online transcript route; Telephone for return/account transcripts
  Stage
  Recover requested income evidence
  Fees and waiver route
  IRS transcripts are free. A complete copy of a tax return is a different Form 4506 process with a fee.
  Account or appointment
  Online identity/account requirements are separate; paper/telephone alternatives do not use the No One Left Outside site. Not established for mail/telephone transcript requests.
  Before starting
  - Confirm transcript type with the receiving agency.
  - Check the current IRS mailing/fax chart; it depends on return filing state and transcript type.
  Application help
  - IRS transcript options and assistance
    Official transcript types, telephone route and distinction from paid full-return copies.
  Material restrictions
  - A transcript is not automatically accepted as income proof by another program.
  - Month precision: April 2025 revision.
  - Do not put SSN/ITIN or tax answers into No One Left Outside URLs or reports.
  After submitting
  - IRS sends requested transcripts to its address of record. Check that limitation before relying on the document arriving at a new mailing address.
  What this does not prove: The agency determines acceptance, eligibility and processing; opening the route establishes none of those outcomes.
  Official owner: Internal Revenue Service. External accessibility conformance has not been tested by No One Left Outside. English
  Open official destination Full record
  Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.
  Include in packet

Related resources

These are directory leads, not endorsements or proof of eligibility. Confidential addresses are never shown in this strip.

1915(c) Waiver Help Desk: ABI, ABI Long Term Care, Model II and CHILD waivers
Kentucky Department for Medicaid Services
Needs verification
Private plan in this tab. Nothing is sent.
Adult Day Care Services
Monroe County Medical Center
Needs verification
Private plan in this tab. Nothing is sent.
Area Agency on Aging
Bluegrass AAA
Needs verification
Private plan in this tab. Nothing is sent.
Area Agency on Aging
Lake Cumberland AAA
Needs verification
Private plan in this tab. Nothing is sent.

Adds: 1915(c) Waiver Help Desk: ABI, ABI Long Term Care, Model II and CHILD waivers, Adult Day Care Services, Area Agency on Aging. Private to this tab; nothing is sent.

View all resources for this journey

Official Social Security and disability routes

These links explain programs and next steps. They are not legal or medical advice, and they do not decide whether anyone qualifies.

Federal Social Security routes

Check an application or appeal

Go to SSA's official application-or-appeal status page.

Next step: Follow the current instructions on the SSA destination.

Open official route

Use my Social Security

Go to SSA's official account page.

Next step: Start at SSA.gov and follow the current sign-in instructions there.

Open official route

Find a Social Security office

Go to SSA's official office locator.

Next step: Use the current search instructions on the SSA destination.

Open official route

Read SSI information

Go to SSA's official SSI page.

Next step: Use SSA's current information and instructions at the destination.

Open official route

Read disability information

Go to SSA's official disability page.

Next step: Use SSA's current information and instructions at the destination.

Open official route

Explore Ticket to Work

Go to SSA's official work page for Ticket to Work information.

Next step: Use the current participation information on the SSA destination.

Open official route

Kentucky disability routes

Medicaid runs on a separate track. Open the No One Left Outside Medicaid guide.

Kentucky Disability Determination Services

Kentucky DDS makes medical disability determinations for SSA. It does not take benefit applications.

Next step: Apply, appeal, or check status through SSA. Use the Kentucky page to understand DDS's role.

Open official route

Kentucky Education and Labor Cabinet: Department for Disability Determination Services Program (opens in a new tab) — “The Disability Determination Services program makes disability determinations on behalf of the Commissioner of Social Security for residents of Kentucky.” Checked 2026-10-19. Kentucky DDS does not take benefit applications. Apply or appeal through SSA.

Kentucky Medicaid Works

Kentucky publishes Medicaid Works for some workers with disabilities ages 16 through 64.

Next step: Open the Medicaid guide, then confirm current rules directly with Kentucky Medicaid.

Open official route

Kentucky Cabinet for Health and Family Services: Medicaid Works (opens in a new tab) — “Medicaid Works is a program for individuals between the ages of 16 and 64 with a disability that allows them to work and keep their Medicaid coverage.” Checked 2026-10-19. Check the current rules with Kentucky Medicaid. This is not an eligibility promise.

Indiana disability routes

Medicaid runs on a separate track. Open the No One Left Outside Medicaid guide.

Indiana Disability Determination Bureau contact

Indiana publishes the bureau's phone and TDD numbers on its official toll-free-numbers page.

Next step: Use the Indiana page for a bureau contact. Use the federal routes above for an application, appeal, or status check.

Open official route

Indiana Family and Social Services Administration: Important Toll Free Numbers (opens in a new tab) — “Disability Determination Bureau 800-622-4968 1-800-252-0573 (TDD)” Checked 2026-10-19. This verifies the state phone listing, not a full program description. Apply or appeal through SSA.

Indiana MEDWorks

Indiana publishes MEDWorks as Medicaid for employees with disabilities.

Next step: Open the Medicaid guide, then confirm current rules and premiums directly with Indiana Medicaid.

Open official route

Indiana Family and Social Services Administration: Medicaid Policy: MEDWorks (opens in a new tab) — “MEDWorks is Medicaid for Employees with Disabilities.” Checked 2026-10-19. Check current rules and premiums with Indiana Medicaid. This is not an eligibility promise.

Indiana HCBS programs

Indiana Medicaid lists home- and community-based service programs by the state division that runs them.

Next step: Use the official list to find the right program. Ask about eligibility, the application path, and current wait or capacity; none is promised here.

Open official route

Indiana Medicaid: Home- and community-based services (opens in a new tab) — “Indiana Medicaid HCBS programs are operated through the divisions listed below.” Checked 2026-10-19. Use this as a waiver-program finder. It does not mean a person qualifies or that a slot is available.

If something goes wrong

What to do when a step does not work

A closed office, a failed website or a “no” does not end the plan. Guidance written for this guide comes first. Where this guide has none, No One Left Outside’s general guidance is shown and labelled.

Show the seven situations, deadlines, county differences and what No One Left Outside does not know

If a document is missing

From this guide

There is little or no medical record to point at
- List what treatment did happen, where and roughly when, even without documents.
- Ask whether an examination can be arranged as part of the process.
- Start or resume care now — a record that begins today is still a record.
The date on the notice has already passed
- Do not treat a passed date as the end of it. Ask SSA in writing to accept a late request and state plainly why it was late — illness, hospitalisation, homelessness, a notice that went to an old address, a representative who did not act.
- Ask SSA what it needs from you to consider a late request, and get the answer from SSA rather than from anyone else.
- Ask Legal Aid Society or another qualified representative to look at it anyway; a missed date changes the argument rather than always ending it.
- Ask separately whether starting a new application is appropriate, and what that would cost in back-dated entitlement — that is a question for someone qualified, not for this page.
Medical, work, phone, or mailing records are incomplete.
- Create a source list and ask what can be submitted now versus later.
Missing: Medical and treatment history
- List providers and dates as accurately as possible and ask how official records should be requested.
- Ask first whether these are accepted (not confirmed): Ask the official reviewer what records or release forms are acceptable.