Applications

Please contact our office at (856) 384-6900 before printing/completing applications to ensure eligibility.

If you are submitting a JACC (Jersey Assistance for Community Caregiving) application, copies of the following documents (if applicable) must accompany the completed application:

·        Proof of Residence
·        Proof of Age
·        Social Security Award Letter/1099s/Bank Statement showing Deposit
·        Most recent Checking Account Statement showing full name and full account number
·        Most recent Savings Account Statement showing full name and full account number
·        Proof of Gross Monthly Pension
·        Last Year’s Signed Tax Returns
·        Savings/Stocks/Bonds/Mutual Funds/CDs/Other Sources of Income
·        Real Estate Information (other than your home)
·        PAAD Card
·        Health Insurance Coverage in addition to Medicare
·        Proof of Alien Status

 Application for JACC (Jersey Assistance for Community Caregiving)

If you are submitting a PAAD or Senior Gold application, copies of the following documents (if applicable) must accompany the completed application:

·        Birth Certificate
·        Medicare Card
·        Health Insurance Card (front and back)
·        Income Tax Return
·        Two pieces of mail with name and address
·        Electric/Gas Bill
·        List of current medications including dose/mg


PAAD and Senior Gold Application

2017 Comparison of PAAD and Senior Gold