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Iowa ADRC

Application Resources

This section offers a collection of external links to help you quickly access applications for various programs and services across Iowa. This allows access to many commonly needed applications in one location.

  • AEA Early ACCESS Referral Form Online (Under 2 yrs 10 months)
  • Apply for Social Security Benefits | SSA
  • Area Education Agency Request for Evaluations (older than 2 yrs 10 months)
  • Assistance Paying for Healthcare PDF Application
  • Assistance Paying for Healthcare PDF Application
  • Assistance Paying for Healthcare PDF Application – Spanish
  • Assistance Paying for Healthcare PDF Application – Spanish
  • Belin-Blank Center Assessment Request Form
  • CHIP/Hawki Insurance Application PDF
  • Community Action Interactive Map
  • Housing and Community Based Services (HCBS) Rent Subsidy Application – PDF
  • IVRS Employment Services – Online Application
  • IVRS Employment Services – PDF Application
  • Medicaid Application Portal
  • Medicaid Paper Application Form
  • Rent Reimbursement Application IA HHS
  • Sign up for Medicare | SSA
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