Applications and Waitlist Forms
How to Submit Completed Documents
- Mail: Alaska Pioneer Homes – Central Office
PO Box 110690,
Juneau, AK 99811-0690
- Fax: 907-465-4108
- Deliver: To the Juneau Central Office (State Office Building) or at any of the Pioneer Homes across the state
The Alaska Pioneer Homes waitlist is broken down into "active" and "inactive" branches.
The active waitlist is for those who are ready to enter a Pioneer Home of their choice within 30 days of receiving an admissions offer. The inactive waitlist is for those applicants interested in moving into a Pioneer Home at some point in the future. *Note* There is no penalty for staying on the inactive waitlist. There is no limit on transferring between the two branches of the waitlist.
- Waitlist Application
- Copy of Proof of Age
- As applicable - copy of Power of Attorney paperwork
- Waitlist Application
- Copy of Proof of Age
- Certificate of Need form
- History & Physical form
- As applicable - copy of Power of Attorney paperwork
- Waitlist/Transfer Change form
- Certificate of Need form
- History & Physical form
- As applicable - copy of Power of Attorney paperwork
Only applicable to veterans applying to the active waitlist for the Alaska Veterans and Pioneers Home
- Alaska Pioneer Homes Veteran's Addendum form
- Copy of DD214 form
- VA 10-10EZ form
Individual Forms