Forms/Applications

Below are forms and applications for services and benefits.

• FREE Part D Prescription Drug Plan Comparison Request
  • 2026 Part D Prescription Drug Plan Comparison On-line Request
  • 2026 Part D Prescription Drug Plan Comparison Request Form PDF
  • 2025 Part D Prescription Drug Plan Comparison On-line Request (for those already covered by Medicare)
• QMB/SLMB Applicationhttps://dhs.maryland.gov/documents/Public%20Assistance/9705-DHS-QMB-SLMB-MSP-Application-Revised-February-2022-1.pdf
• Extra Help Application
• Maryland Senior Prescription Drug Assistance Program (SPDAP) Application
• Employed Individuals with Disabilities (EID) Forms and Documents
  • EID Application
  • EID Documents to Enclose
  • EID Exemption Fact Sheet
  • EID Hardship Exemption Form