No Income Verification
If you and/or your spouse do not have and have no household income, then please have whoever is helping providde your daily needs fill this form out for you. DO NOT FILL THIS FORM OUT YOURSELF.
If you have questions, you may contact us by the following methods:
- By Phone: 606-408-4118 or 866-408-6466
- By E-mail: FinancialAssistanceTeam@kdmc.net
