Shawnda O'Brien
Director
Applications for Public Assistance
Use the links below to apply.
- Complete a paper
Application for Services and send by mail, fax, email, in-person/lobby drop box, direct secure messaging (requires a DSM account), or through a fee agent.
- Contact the Virtual Contact Center 800-478-7778 (TDD/Alaska Relay: 7-1-1) and apply for benefits over the phone
- See our Contact Us page for more information.
One Fax for All Offices
DPA’s statewide toll-free fax number is 888-269-6520, and Anchorage area residents can dial 907-269-6520.
Copies of applications are available at local offices, and we can mail one to you if asked.
An electronic application is not available for programs other than MAGI (income-based) Medicaid at this time.
Medicaid Applicants please note:
- Income-based Medicaid applicants are encouraged to apply at www.healthcare.gov. This is the fastest way to see if you’re covered.
- Older age or disability Medicaid applicants should only use the following (paper) application at this time:
(for most assistance programs)
Other Applications
Review or Recertification
- The
Eligibility Review Form (GEN-72) can be used for most programs. The division sends a prefilled review application form with the standard recertification or review notice.
- Please note the reporting requirements for our programs, which can be reported directly to your local office, with a GEN-72 or other form.
Other Forms