Form preview

Get the free Universal Application for PAAD, Senior Gold and Other Special Benefit Programs - cov...

Get Form
This application allows eligible New Jersey residents to apply for benefits from the Pharmaceutical Assistance to the Aged and Disabled (PAAD) program, Senior Gold Prescription Discount program, and
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign universal application for paad

Edit
Edit your universal application for paad form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your universal application for paad form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit universal application for paad online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit universal application for paad. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save it to the cloud.
With pdfFiller, dealing with documents is always straightforward.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out universal application for paad

Illustration

How to fill out Universal Application for PAAD, Senior Gold and Other Special Benefit Programs

01
Gather necessary documents such as proof of income, age identification, and residency.
02
Obtain the Universal Application form from the appropriate state agency's website or office.
03
Complete the personal information section, including your name, address, and contact details.
04
Fill out the income section accurately, providing details of all sources of income.
05
Provide information on any assets if required, such as bank statements or property ownership.
06
Indicate if you are applying for multiple programs (PAAD, Senior Gold, etc.) on the application form.
07
Review the application for accuracy and completeness.
08
Sign and date the application to certify the information is true.
09
Submit the application via mail or in person to the designated agency.
10
Keep a copy of the submitted application and any supporting documents for your records.

Who needs Universal Application for PAAD, Senior Gold and Other Special Benefit Programs?

01
Individuals who are senior citizens or disabled persons seeking financial assistance for medications.
02
Residents of New Jersey who meet the income and eligibility guidelines for the PAAD program.
03
Seniors in need of additional benefits related to healthcare costs.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.2
Satisfied
34 Votes

People Also Ask about

You may be eligible for PAAD if you meet the following requirements: You are a New Jersey resident; You are age 65 or older or between ages 18 and 64 and receiving Social Security Title II Disability benefits; and. Your income for 2025 is less than $53,446 if single or less than $60,690 if married.
You may be eligible for PAAD if you meet the following requirements: You are a New Jersey resident; You are age 65 or older or between ages 18 and 64 and receiving Social Security Title II Disability benefits; and. Your income for 2025 is less than $53,446 if single or less than $60,690 if married.
Have income: between $52,142 and $62,142 (single) or between $59,209 and $69,209 (married) Senior Gold applicants do not qualify for the Lifeline Utility Credit/Tenants Lifeline Assistance Program or the Hearing Aid Assistance to the Aged and Disabled Program and, therefore, do not need to answer questions related to
Maximum MONTHLY GROSS Income Eligibility Guidelines Household SizeUSF & LIHEAP Program 1 $3,991 2 $5,219 3 $6,448 4 $7,6769 more rows
PAAD in New Jersey. If you live in New Jersey, you may have access to the Pharmaceutical Assistance to the Aged and Disabled program, also known as PAAD. This state-run program helps pay for prescription drugs for seniors and people with disabilities. It's a great resource if your income is low or moderate.
PAAD will use this information to determine PAAD income eligibility. NOTE: This question does NOT ask the applicant or spouse (if applicable) to include income from Social Security Benefits, Wages, Self-Employment, Interest, or Dividends. These sources of income will be asked for in Questions 10 and 14.
Citizens or qualified immigrants. For an adult to qualify for NJ FamilyCare, the total family income must be at or below 138% of the Federal Poverty Level. For a single person, that is $1,800 a month; for a family of 4, that is $3,698 a month (2025 guidelines).

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Universal Application for PAAD, Senior Gold, and Other Special Benefit Programs is a streamlined form that individuals can use to apply for multiple state assistance programs such as the Pharmaceutical Assistance to the Aged and Disabled (PAAD) and the Senior Gold program.
Individuals who are seeking assistance through PAAD, Senior Gold, or other related benefit programs are required to file this universal application, particularly seniors and disabled individuals who meet specific eligibility criteria.
To fill out the Universal Application, applicants must complete the provided form by providing personal information, income details, and any other required information. It is important to follow the instructions carefully and provide accurate information.
The purpose of the Universal Application is to simplify the application process for various state assistance programs, allowing eligible individuals to apply for multiple benefits through a single form.
The Universal Application requires applicants to report personal information such as name, address, date of birth, income details, and other relevant data needed to determine eligibility for the programs.
Fill out your universal application for paad online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.