Blind Pension Application Form

The department of human services is dedicated to helping low income families and individuals living in pennsylvania move to independence through the state blind pension program which provides blind pension benefits for adults who meet visual requirements and other conditions of eligibility.

Blind pension application form.

State blind pension program and moving to independence. Blind pension section address. Blind pension bp1 the blind pension is a means tested payment paid to blind and visually impaired people who are habitually resident in ireland. If you re blind we have special rules that allow you to receive benefits when you are unable to work.

A braille and audio cassette tape version of this application form is also available from the national council for the blind of ireland. Intreo centre or social welfare branch office. The supplemental aid to the blind sab program is operated in missouri in conjunction with a totally state supported blind pension program. You can also get this form at your local.

Request for ophthalmologist or optometrist report form sa013 use this form if you are claiming age pension or disability support pension on the basis of permanent blindness. This program provides assistance for blind persons who do not qualify under the supplemental aid to the blind law and who are not eligible for supplemental security income benefits. This application form is also available from your intreo centre or social welfare branch office. Through the sab program the state provides blind persons who meet certain requirements with reasonable subsistence in accordance with the standards developed by the family support division.

Download and complete the request for ophthalmologist or optometrist report. Each eligible person receives a monthly cash grant as well as mo healthnet coverage. Get step by step instructions and consider signing in to save your in progress application if you need to come back later to finish filling it out. We pay benefits to people who are blind under two programs.

To apply fill in application form bp1 pdf. You can complete the form bp1 and return it to. Social welfare services office college road sligo f91 t384. The blind pension program was established by missouri statute in 1921.

Apply online paper application accompanying forms. If you re blind or have low vision. Mo healthnet medicaid for the blind and visually impaired provides medical care for persons who are blind or visually impaired and meet other eligibility requirements if you ve already enrolled go to mo healthnet for assistance using your benefits or finding a doctor.