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NF Transfer Forms

Transfer Forms for MaineCare members only

If not a MaineCare Member, DO NOT COMPLETE THESE FORMS


Instructions:
If this is the first time using the Transfers Portal, please review the instructions before continuing!

If for some reason you are unable to submit information using the online forms, you may Download an Adobe PDF version of the NF Transfer form, complete and fax the paper copy to the appropriate number.
The instructions for completing the form are also available (in Adobe PDF format).

If you need to contact someone regarding Transfer Forms, call the Office of Aging and Disability Services at:

1-800-262-2232 8am to 5pm
TTY (800)606-0215
(Toll Free Nationwide & Canada)

We are interested in your feedback - feel free to send us a comment!