Applications and Forms
Senior Assisted Living Subsidy Program
Click the button below to learn about, and apply for, the Senior Assisted Living Subsidy Program.
LTC Ombudsman Volunteer Application
Click below to view and download the application for volunteering with the State Long-Term Care Ombudsman Program (SLTCOP).
Long Term Care Application
Click below to view and download the application for Long Term Care and Waiver Medical Assistance.
Medicaid
Click below to view and download the application form for receiving Medicaid assistance in the state of Maryland.
QMB/SLMB Programs
Click below to view and download the application for Maryland's Qualified Medicare Beneficiary (QMB) and Specified Low-Income Medicare Beneficiary (SLMB) programs.
SSI Application
Click below to view and download the application for SSI assistance in Maryland.
Rebuilding Together
Click below to view and download the application for receiving aid from Howard County's Rebuilding Together program.
50+ Center Membership
Click below to view and download the application packet for membership with Howard County's 50+ Centers. Completion of this application is required to be eligible for 50+ Center Programs.
Occupational Therapy Release Form
Click below to view and download the application and release form for receiving Occupational Therapy aid.