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Application Process

To file an application for donor travel to the transplant center, the transplant professional must login to the NLDAC website and select “New Application”. We recommend using the Donor and Recipient Application Worksheet and Attestation Forms shown below to gather the data needed to complete an application. Because eligibility is based on yearly household income of the recipient and the donor, a copy of the income documents used to file the application must be kept on file at the transplant center for future audit. Examples of accepted income documents are: Federal tax return, pay stubs,
W-2, Social Security Statements, Medicaid, HUD or other documents. 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 attach to step four of the web-based application or fax to 703-414-7874.

The Financial Hardship Waiver Form may also be used to document financial hardship and is available in step 4 of the application.

Step by Step Diagram of Transplant Center Application Process

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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