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Forms
and Info
(The following links access useful forms and information
from other agency's websites.)
C.H.A.M.P.S.S.
JAAA REORDER FORM
(CHAMPSS - Chosing Healthy Appetizing
Plan Solutions for Seniors - expected donation per meal
is $2.50)
PROJECT
DESERVE APPLICATION
(Westar Energy website)
MEDICARE
SAVINGS PROGRAM REDETERMINATION/ APPLICATION
(KS Dept. of Social & Rehabilitation Services (SRS)
website)
MEDICAID
APPLICATION FOR DISABLED AND ELDERLY PERSONS(MEDICAL, FOOD
& CASH ASSISTANCE)
(KS Dept. of Social & Rehabilitation Services (SRS)
website)
KANSAS
HEALTH POLICY AUTHORITY (KHPA)
(KHPA website)
REPLACE
YOUR LOST/STOLEN MEDICARE CARD
(Social Security Administration website)
DISABILITY
PARKING PLACARD/PLATE
(KS Dept of Revenue website - Return completed form to the
courthouse 200 SE 7th Street, Room 101, Topeka, Kansas)
DPOA
- DURABLE POWER OF ATTORNEY
(KS Dept of Aging website)
LIVING
WILL
(KS Dept of Aging website)
DNR
- DO NOT RESUSCITATE
(KS Dept of Aging website)
FIND
A MEDICARE PHYSICIAN
(Medicare website)
ACCESS
GOVERNMENT SERVICES FROM
YOUR COMPUTER
(USA Government Made Easy website - www.usa.gov)
HEAR
NOW PROGRAM APPLICATION
(The Starkey Hearing Foundation website)
AUDIENT
ALLIANCE LOW INCOME HEARING AID ASSISTANCE
(The Audient Alliance for Accessible Hearing Care website)
AUDIENT
PROGRAM APPLICATION
KANSAS
LIFELINE/LINK-UP SERVICE PROGRAM TELEPHONE-EMBARQ
(Embarq website)
PRE-PLANNING
YOUR FUNERAL ARRANGEMENTS
(The State of KS website)
MEDICARE
PART D WORKSHEET
(KS Dept of Aging website)
MEDICARE
PART D EXTRA HELP APP.
(Social Security Administration website)
VETERAN'S
BENEFIT INFORMATION
(US Dept of Veteran's Affairs)
CITY
OF TOPEKA NEIGHBORHOOD SERVICES GUIDE
(City of Topeka website)
FEDERAL
POVERTY GUIDLINES 2011
(U.S. Department of Health & Human Services website)
GUARDIANSHIP
AND CONSERVATOR LAW GUIDE
(KS Guardianship Program website)
KANSAS
ADULT PROTECTIVE SERVICES/ELDER ABUSE
(KS Dept. of Social & Rehabilitation Services
(SRS) and Adult Protective Services (APS) website)
KANSAS
INSURANCE DEPT. PUBLICATIONS
(KS Insurance Department website)
SECTION
8 HOUSING INFO
(Topeka Housing Authority website)
AFFORDABLE
HOUSING OPPORTUNITY PROGRAMS
(KS Housing Resources Corp. website)
CITY
OF LAWRENCE SERVICES DIRECTORY
(City of Lawrence website)
CARE
PROGRAM INFORMATION
(KS Dept of Aging website)
FRIENDSHIP
MEALS FOR SHAWNEE & JEFFERSON CO.
(Meals-On-Wheels website)
INFO
FOR MEALS-ON-WHEELS FOR LAWRENCE, KS
(MealCall website)
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