SCL Application (Map 620)

Download Application

This form is an application that is reviewed by the Division of Mental Retardation in Frankfort, Kentucky to determine eligibility to be placed on the waiting list for Supports for Community Living services. The waiting list is currently well over 2000 people for these waiver services. A person can download the application and fill out what he or she is comfortable filling out on the application and contact the office closest to you for assistance from a Case Manager in the completion and submission of the application. If a person wants to fill the application out without any assistance and mail it, please mail it to the following address:

Division of Mental Retardation
ATTN: SCL Waiting List Coordinator
00 Fair Oaks Lane, 4W-C
Frankfort, KY 40621

Our staff have a lot of experience in assisting people to fill out Map 620 applications and we encourage you to seek assistance via phone or in person.