PNMI Transfer Forms
PNMI Transfer Forms for MaineCare members only
If not a MaineCare Member, DO NOT COMPLETE THESE FORMS
Note: The PNMI Transfers Portal will be unavailable starting at 7:00 a.m. Sunday June 5th. The portal should be back up
by 5:00 pm. NOTE: Due to the nature of the outage, you WILL NOT get a page indicating the portal is unavailable; you will get a "Page not found" error.
Our apologies for the inconvenience.
If for some reason you are unable to submit information using the online forms,
you may Download an Adobe PDF version, complete and fax the paper copy to the
The instructions for completing the form are also available (in Adobe PDF format).
For an overview on using this web site, view Web Page Instructions
If you need to contact someone regarding PNMI Transfer Forms, call the Office of Elder Services at:
1-800-262-2232 8am to 5pm
(Toll Free Nationwide & Canada)
We are interested in your feedback - feel free to send us a comment!