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Application Process

Thank you for your interest in applying to the National Living Donor Assistance Center. To file an application for donor travel expense to the transplant center, the recipient and the donor must complete NLDAC Application Worksheets and Attestation forms. Both completed worksheets must be given to your transplant center professional who will file an application on behalf of the donor. Eligibility is based on yearly household incomes. You must also provide documentation of your yearly household income with your application worksheet. Examples of accepted documents are: pay stubs, W-2, Federal income tax return, Social Security statement, HUD, WIC, Medicaid or other document. Do not send completed worksheets to NLDAC. NLDAC cannot accept applications from patients. If you need assistance, call 703-414-1600 or toll free at 888-870-5002. We are happy to help.

Application Worksheets

NLDAC cannot reimburse expenses that have already occurred. We recommend complete applications with Preference Category 1, 2 and 3 be submitted as early as 6-8 weeks, but no later than 10 business days before the surgical procedure or travel. Complete applications with Preference Category 4 may also be submitted as early as 6-8 weeks, but no later than 15 business days before the surgical procedure or travel. Please call NLDAC at 703-414-1600 or toll free at 888-870-5002 if you have questions or need more information.

If the recipient or donor household income is greater than 300% of the HHS Poverty Guidelines, you may request a waiver for financial hardship. Please complete the Financial Hardship Waiver Worksheet and give to your transplant professional.

Potential Donors

If you are considering organ donation, NLDAC may be able to lessen the burden of travel expenses. View the NLDAC Eligibility Screening Tool for NLDAC household income requirements. To learn more about the application process, read the NLDAC brochure "How to Apply" in English or Spanish.

More information

Transplant Centers

Join NLDAC in its mission to reduce financial disincentives to living donation. Please print a NLDAC poster and place it in your kidney transplant clinic or your local dialysis clinic. If you would like us to mail you posters or brochures, please complete this request form. If you would like to learn about the application process, click on the link below.

Application Process

Organ Donor
University of Arizona
ASTS
Arbor Research Collaborative for Health
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