How to Submit Applications (for Transplant Professionals)

  1. Register as an application filer here, if you have not already done so.
  2. Use the eligibility screening tool to make sure the donor and recipient are eligible for the program. If the recipient’s household income is greater than 350% of the Federal Poverty Guidelines, they will need to submit a financial hardship waiver worksheet that demonstrates qualifying expenses totaling the difference between the amount listed in the guidelines and their actual income. These applications are classified as category 4, and require approval from HRSA.
  3. Gather the application worksheets, attestation forms, and income verification documents from the donor and recipient. Review all the information and sign the attestation form. Calculate the donor and recipient household income based on the documentation they provide. You will enter the household income information on step 4. You do not need to upload the household income documents, but you do need to attest that you have calculated the household income based on the documents and will keep them on file. 
  4. If the donor is applying for reimbursement of lost wages, ensure you have received their signed W-9 and two most recent pay stubs. If they are self-employed, they can submit a federal incoe tax return with schedule C, IRS Form 1099, or income summary generated by the company for which they do contract work (like Uber or Instacart). You will upload these documents on step 3a. 
  5. Log onto the NLDAC website, transfer the information to the web-based application, and click ‘submit' for each type of reimbursementtravel on step 6 and lost wages on step 3a.
  6. Category 1 and 3 applications must be submitted at least 10 business days before travel. Category 4 applications must be submitted at least 15 business days before travel. In case of a medical emergency that prevents a prospective liver recipient from waiting 10-15 business days for a transplant, check the box to indicate that it is an urgent liver donation. These applications can be approved in 1-2 business days. Applications cannot be rushed for any other reason.
  7. File the donor and recipient attestation forms and household income documents in their respective medical records in case of audit.

Feel free to call NLDAC at (703) 414-1600 with any questions. We are happy to help!

Learn what you need to know before applying for NLDAC assistance by reading our Program Snapshot.

Organ Donor
University of Kansas
Arbor Research Collaborative for Health