N.J. Admin. Code § 10:167-6.6 - PAAD eligibility application and renewal application forms

(a) The eligibility application forms are available to applicants in central and local offices and other convenient locations throughout the State, on the Department's website at www.state.nj.us/humanservices/doas/home/ap2.html, and by writing to the New Jersey Department of Human Services, Pharmaceutical Assistance to the Aged and Disabled (PAAD), PO Box 715, Trenton, NJ 08625-0715.

(b) Applicants shall apply, or renew their application, for PAAD and/or for Lifeline on forms approved by PAAD.

(c) The application forms specified by this section shall contain fields for the submission of the information required by N.J.A.C. 10:167-6.1 through 6.9 to determine eligibility, and fields for applicants to approve the release of information in accordance with N.J.A.C. 10:167-6.11.

Notes

N.J. Admin. Code § 10:167-6.6

Amended by R.1985 d.259, effective 5/20/1985.
See: 17 N.J.R. 367(a), 17 N.J.R. 1318(b).
Amended by R.2009 d.16, effective 1/5/2009.
See: 40 N.J.R. 4479(a), 41 N.J.R. 221(a).
Amended by R.2011 d.248, effective 10/3/2011.
See: 43 N.J.R. 360(a), 43 N.J.R. 2596(a). Amended by 48 N.J.R. 1366(b), effective 7/5/2016