Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Pharmaceutical Assistance to the Aged and Disabled (PAAD) program, Division of Aging Services, New Jersey Department of Human Services before sending sensitive documents. FaxFlow is not affiliated with this organization.
Pharmaceutical Assistance to the Aged and Disabled (PAAD) program, Division of Aging Services, New Jersey Department of Human Services fax number
(609) 588-7122
Division of Aging Services (PAAD)
Used for: Submitting PAAD/Senior Gold applications and required documentation by fax to the PAAD Revenue Processing Center; paper applications may also be mailed for processing.
Fax destination details
- Department
- Division of Aging Services (PAAD)
- Purpose
- Submitting PAAD/Senior Gold applications and required documentation by fax to the PAAD Revenue Processing Center; paper applications may also be mailed for processing.
- Form
- AP-2 — Universal Application for PAAD, Senior Gold and Other Special Benefit Programs
- Address
- PAAD/Senior Gold Revenue Processing Center, PO Box 637, Trenton, NJ 08646-0637
- Voice phone
- 1-800-792-9745
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Fill out AP-2 in blue/black ink, print clearly in uppercase, and submit with copies of required documents. Mail to PAAD/Senior Gold Revenue Processing Center, PO Box 637, Trenton, NJ 08646-0637. Include proof of age, disability status if applicable, residence, Medicare card, and insurance information. If applying for Lifeline or other benefits, select the appropriate options on the form.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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