Medical Facilities Unit
Assisted Housing Program
- Guidance to completing the room temperature waiver (Word) also in PDF
- Memorandum regarding waiver to lower room temperature (Word) also in PDF
- Application for Waiver to lower room temperature (Word) also in PDF
- Effective July 1, 2008, the Maine State Bureau of Identification (SBI) has changed its rate for criminal background checks.
- Room and Board for SSI recipients (Word) also in PDF
These application forms are "fillable". Please save the form to your computer, and complete it by typing the required information into the fields provided. You can then print your completed form, sign it as required, and submit it to the administering agency as you normally would via regular mail or in person.
- Request for Waiver Application (PDF)
- Adult Day Program Application (PDF)
- Change of Administrator Application AD or AH (PDF)
- Assisted Housing Program Application - Res Care & AH (PDF)
- Assisted Housing Program Change in Licensed Capacity Application (PDF)