Self-Help forms and Online Resources relating to Elder Law issues.
Click on a resource category listed below to see information related to that category.
Application for a Social Security Card
Apply for a Social Security card online or use the official application form. Use the official form from the Social Security Administration to apply for (1) An original Social Security card; (2) A replacement Social Security card; or (3) A change of information on your record. [PDF] (December 2024)
Application for Payment of Medicare Premiums, Coinsurance and Deductibles [PDF]
The PA 600M is a mail-in application for payment of the Medicare Part B premium only. It is used to help elderly individuals or individuals with disabilities who are eligible for Medicare to pay some or all of their Medicare Part B premium. A face-to-face interview is not required when using this application. The application cannot be used to apply for Medicaid (Medical Assistance), cash assistance or food stamps. (PA 600 M (AS) 8/19)
Benefits Check Up for Seniors
BenefitsCheckUp® connects millions of older adults and people with disabilities with benefits programs that can help pay for health care, medicine, food, utilities, and more. See what's available in your area by entering your ZIP code on the site.
Benefits Eligibility Screening Tool (BEST)
This resource from the Social Security Administration allows you to use the Benefit Eligibility Screening Tool (BEST) to find what Social Security benefits you may be eligible to receive. It is NOT an application for benefits.
COMPASS
COMPASS is an online tool for Pennsylvanians to apply for many health and human service programs and manage benefit information, including SNAP, TANF, Medicaid, LIHEAP and other social service programs.
Explore your Medicare Health Care and Prescription Drug Coverage Options
This tool from the Centers for Medicare & Medicaid Services can help you find and compare Medicare health care and prescription drug plans in your area.
Medical Assistance Financial Eligibility Application for Long-Term Care Supports and Services
Application for a determination of financial eligibility for long term care facilities. (PA 600-L Form) The person who needs help to pay for nursing facility care, or someone acting on his behalf, may complete the form.
Online Services: Social Security Administration
This webpage of the Social Security Administration described the online services available from Social Security including apply for retirement, disability, and Medicare benefits online. The page allows you to create a My Social Security account. you can use to check the status of an application or appeal, request a replacement Social Security card (in most areas), print a benefit verification letter, and more – from anywhere and from any of your devices!
Plan for Retirement - Social Security Retirement Estimator
Apply for your monthly Retirement benefit anytime between age 62 and 70. Social Security will calculate your payment based on your lifetime earnings. The amount will be higher the longer you wait to apply, up until age 70. The Retirement Estimator produces estimates that are based on your actual Social Security earnings record.
Request for Social Security Earnings Information
This form will request verification of employment dates from the Social Security Administration. You may need this if you are having difficulty obtaining dates of employment for a pension, social security application, or personal reason. Please note: fees apply depending on the number of years you are requesting. [PDF] (02-2021) FREE yearly totals of earnings are available at www.ssa.gov/myaccount. (11/20224)
Social Security Benefit Application - Medicare
Online Medicare application from the Social Security Administration. Medicare is our country’s health insurance program for people age 65 or older. You’ll sign up for Medicare Part A and Part B through Social Security, so you can make both retirement and Medicare choices and withhold any premiums from your benefit payments.
Social Security Retirement Benefits
The Social Security Retirement benefit is a monthly check that replaces part of your income when you reduce your hours or stop working altogether. It may not replace all your income so it's best to identify other ways to pay for your monthly expenses as you age.
PA Health Law Project Toll-Free Helpline - Call: 1-800-274-3258
The PA Health Law Project provides free legal services and advocacy to Pennsylvanians having trouble accessing publicly funded health care coverage or services. For assistance, call the PHLP Helpline at 1-800-274-3258 or 1-866-236-6310 TTY or e-mail the PHLP at staff@phlp.org. Information from the PHLP is also available online at www.phlp.org. The Toll Free Helpline is open on Mondays and Wednesdays beginning at 8:00 AM Eastern.
Northampton County: Protection From Abuse Information
Information on Protection From Abuse services in Northampton county. Under the Protection From Abuse Act, you may file for an order if the person who has or is trying to harm you is/was your spouse; was living with you in a common-law marriage or as your boyfriend/girlfriend; the parent of your child; your child; was a sexual or intimate partner; your parent; or related to you by blood or marriage.
Philadelphia Court of Common Pleas Forms Center
Forms available from the Philadelphia County Court of Common Pleas
Application for a Social Security Card
Apply for a Social Security card online or use the official application form. Use the official form from the Social Security Administration to apply for (1) An original Social Security card; (2) A replacement Social Security card; or (3) A change of information on your record. [PDF] (December 2024)
Application for Payment of Medicare Premiums, Coinsurance and Deductibles [PDF]
The PA 600M is a mail-in application for payment of the Medicare Part B premium only. It is used to help elderly individuals or individuals with disabilities who are eligible for Medicare to pay some or all of their Medicare Part B premium. A face-to-face interview is not required when using this application. The application cannot be used to apply for Medicaid (Medical Assistance), cash assistance or food stamps. (PA 600 M (AS) 8/19)
Benefits Check Up for Seniors
BenefitsCheckUp® connects millions of older adults and people with disabilities with benefits programs that can help pay for health care, medicine, food, utilities, and more. See what's available in your area by entering your ZIP code on the site.
Benefits Eligibility Screening Tool (BEST)
This resource from the Social Security Administration allows you to use the Benefit Eligibility Screening Tool (BEST) to find what Social Security benefits you may be eligible to receive. It is NOT an application for benefits.
COMPASS
COMPASS is an online tool for Pennsylvanians to apply for many health and human service programs and manage benefit information, including SNAP, TANF, Medicaid, LIHEAP and other social service programs.
Consumer Law Forms from Aging Safely
Aging Safely has developed a set of three consumer law forms that can be used as standalone letters or work together as a package to help older adults who have been victims of financial exploitation or identify theft: (1) Letter to a creditor to request debt forgiveness when a bill is owed; (2) Letter to a creditor to dispute a charge from a bank or company; and (3) Letter to a credit bureau to dispute an item on a credit report.
Cover Sheet for Interstate Enforcement of a Protection Order from Aging Safely
Aging Safely has created this free program that can create a cover sheet for your protection order when traveling outside your area of residence. When you put the cover sheet on top of your protection order, it makes it easier for the courts and police in other states to enforce your order.
Medical Assistance Financial Eligibility Application for Long-Term Care Supports and Services
Application for a determination of financial eligibility for long term care facilities. (PA 600-L Form) The person who needs help to pay for nursing facility care, or someone acting on his behalf, may complete the form.
Online Services: Social Security Administration
This webpage of the Social Security Administration described the online services available from Social Security including apply for retirement, disability, and Medicare benefits online. The page allows you to create a My Social Security account. you can use to check the status of an application or appeal, request a replacement Social Security card (in most areas), print a benefit verification letter, and more – from anywhere and from any of your devices!
Safety Planning Form from Aging Safely
Aging Safely has developed this online interview that will help you prepare a free safety plan if you or a loved one are in an unsafe situation.
Social Security Benefit Application - Medicare
Online Medicare application from the Social Security Administration. Medicare is our country’s health insurance program for people age 65 or older. You’ll sign up for Medicare Part A and Part B through Social Security, so you can make both retirement and Medicare choices and withhold any premiums from your benefit payments.
Social Security Retirement Benefits
The Social Security Retirement benefit is a monthly check that replaces part of your income when you reduce your hours or stop working altogether. It may not replace all your income so it's best to identify other ways to pay for your monthly expenses as you age.
Custody Proceedings - Representing Yourself: Forms and Information from the Pennsylvania Courts
Free online information is available from the Pennsylvania Courts website to assist the growing number of Pennsylvanians who want to file their own family law cases in courts across the state. Standardized court forms for child custody proceedings may be obtained on this page of the Unified Judicial System of Pennsylvania’s website. Included are forms for both parents and third parties, including grandparents.
Explore your Medicare Health Care and Prescription Drug Coverage Options
This tool from the Centers for Medicare & Medicaid Services can help you find and compare Medicare health care and prescription drug plans in your area.
Federal Court Finder
Find a federal court location by location or court name, including appellate, district, bankruptcy, probation and pretrial office, or federal defender organization. Each District Court has its own local forms which are generally available on the Court website.
How to Complete a Custody Complaint Form - For Grandparents and Third Parties (Video)
This video from Summit Legal Aid, formerly Laurel Legal Services. provides line-by-line instructions on how to complete a Custody Complaint form 2 (for grandparents and third parties) that is available from the PA Courts "Representing Yourself" website. (2020) Summit Legal Aid was formed when Southwestern Pennsylvania Legal Aid and Laurel Legal Services merged into a single legal aid program on July 1, 2023.
How to File a Case in Philadelphia Small Claims Court
You can bring a lawsuit for less than $12,000 in Small Claims Court, which is part of the Philadelphia Municipal Court. This is an explanation of the Small Claims Court process in Philadelphia from Philadelphia Legal Assistance, as outlined in a brochure from the Philadelphia Municipal Court.
Medicare: Find & compare providers near you
You can use this tool to find and compare different types of Medicare providers (like physicians, hospitals, nursing homes, and others). Use our maps and filters to help you identify providers that are right for you.
Medigap Policy Search
This interactive tool from the Centers for Medicare & Medicaid Services helps you Find a Medigap Policy in Your Area.
Plan for Retirement - Social Security Retirement Estimator
Apply for your monthly Retirement benefit anytime between age 62 and 70. Social Security will calculate your payment based on your lifetime earnings. The amount will be higher the longer you wait to apply, up until age 70. The Retirement Estimator produces estimates that are based on your actual Social Security earnings record.
Request for Social Security Earnings Information
This form will request verification of employment dates from the Social Security Administration. You may need this if you are having difficulty obtaining dates of employment for a pension, social security application, or personal reason. Please note: fees apply depending on the number of years you are requesting. [PDF] (02-2021) FREE yearly totals of earnings are available at www.ssa.gov/myaccount. (11/20224)
Upsolve
If you need to file Chapter 7 bankruptcy, you may be able to file your bankruptcy through Upsolve. Upsolve is a national non-profit that helps people file for Chapter 7 bankruptcy at no cost. Upsolve is an online program focused on assisting low-income Americans through Chapter 7 bankruptcy at no cost. Read about whether Chapter 7 bankruptcy is right for you!
How to Complete a Custody Complaint Form - For Grandparents and Third Parties (Video)
This video from Summit Legal Aid, formerly Laurel Legal Services. provides line-by-line instructions on how to complete a Custody Complaint form 2 (for grandparents and third parties) that is available from the PA Courts "Representing Yourself" website. (2020) Summit Legal Aid was formed when Southwestern Pennsylvania Legal Aid and Laurel Legal Services merged into a single legal aid program on July 1, 2023.
How to File a Case in Philadelphia Small Claims Court
You can bring a lawsuit for less than $12,000 in Small Claims Court, which is part of the Philadelphia Municipal Court. This is an explanation of the Small Claims Court process in Philadelphia from Philadelphia Legal Assistance, as outlined in a brochure from the Philadelphia Municipal Court.
PA Health Law Project Toll-Free Helpline - Call: 1-800-274-3258
The PA Health Law Project provides free legal services and advocacy to Pennsylvanians having trouble accessing publicly funded health care coverage or services. For assistance, call the PHLP Helpline at 1-800-274-3258 or 1-866-236-6310 TTY or e-mail the PHLP at staff@phlp.org. Information from the PHLP is also available online at www.phlp.org. The Toll Free Helpline is open on Mondays and Wednesdays beginning at 8:00 AM Eastern.
Erie County: How to Get a Custody Order in Erie County
Information from the Erie County Bar Association about the steps involved in getting a custody order in Erie County. (June 2023)
COMPASS
COMPASS is an online tool for Pennsylvanians to apply for many health and human service programs and manage benefit information, including SNAP, TANF, Medicaid, LIHEAP and other social service programs.
Custody Proceedings - Representing Yourself: Forms and Information from the Pennsylvania Courts
Free online information is available from the Pennsylvania Courts website to assist the growing number of Pennsylvanians who want to file their own family law cases in courts across the state. Standardized court forms for child custody proceedings may be obtained on this page of the Unified Judicial System of Pennsylvania’s website. Included are forms for both parents and third parties, including grandparents.
Divorce Proceedings - Representing Yourself: Forms and Information from the Pennsylvania Courts
Free online information is available from the Pennsylvania Courts website to assist the growing number of Pennsylvanians who want to file their own family law cases in courts across the state. Standardized court forms for divorce proceedings may be obtained on this page of the Unified Judicial System of Pennsylvania’s website.
Explore your Medicare Health Care and Prescription Drug Coverage Options
This tool from the Centers for Medicare & Medicaid Services can help you find and compare Medicare health care and prescription drug plans in your area.
Medical Assistance Financial Eligibility Application for Long-Term Care Supports and Services
Application for a determination of financial eligibility for long term care facilities. (PA 600-L Form) The person who needs help to pay for nursing facility care, or someone acting on his behalf, may complete the form.
Medicare: Find & compare providers near you
You can use this tool to find and compare different types of Medicare providers (like physicians, hospitals, nursing homes, and others). Use our maps and filters to help you identify providers that are right for you.
Medigap Policy Search
This interactive tool from the Centers for Medicare & Medicaid Services helps you Find a Medigap Policy in Your Area.
Online Services: Social Security Administration
This webpage of the Social Security Administration described the online services available from Social Security including apply for retirement, disability, and Medicare benefits online. The page allows you to create a My Social Security account. you can use to check the status of an application or appeal, request a replacement Social Security card (in most areas), print a benefit verification letter, and more – from anywhere and from any of your devices!
Request for Social Security Earnings Information
This form will request verification of employment dates from the Social Security Administration. You may need this if you are having difficulty obtaining dates of employment for a pension, social security application, or personal reason. Please note: fees apply depending on the number of years you are requesting. [PDF] (02-2021) FREE yearly totals of earnings are available at www.ssa.gov/myaccount. (11/20224)
Social Security Benefit Application - Medicare
Online Medicare application from the Social Security Administration. Medicare is our country’s health insurance program for people age 65 or older. You’ll sign up for Medicare Part A and Part B through Social Security, so you can make both retirement and Medicare choices and withhold any premiums from your benefit payments.
Social Security Retirement Benefits
The Social Security Retirement benefit is a monthly check that replaces part of your income when you reduce your hours or stop working altogether. It may not replace all your income so it's best to identify other ways to pay for your monthly expenses as you age.
Upsolve
If you need to file Chapter 7 bankruptcy, you may be able to file your bankruptcy through Upsolve. Upsolve is a national non-profit that helps people file for Chapter 7 bankruptcy at no cost. Upsolve is an online program focused on assisting low-income Americans through Chapter 7 bankruptcy at no cost. Read about whether Chapter 7 bankruptcy is right for you!
Carbon Self Service Center - Forms
Download forms and information from the Carbon County Court of Common Pleas
Erie County: How to Get a Custody Order in Erie County
Information from the Erie County Bar Association about the steps involved in getting a custody order in Erie County. (June 2023)
Northampton County: Protection From Abuse Information
Information on Protection From Abuse services in Northampton county. Under the Protection From Abuse Act, you may file for an order if the person who has or is trying to harm you is/was your spouse; was living with you in a common-law marriage or as your boyfriend/girlfriend; the parent of your child; your child; was a sexual or intimate partner; your parent; or related to you by blood or marriage.
How to File a Case in Philadelphia Small Claims Court
You can bring a lawsuit for less than $12,000 in Small Claims Court, which is part of the Philadelphia Municipal Court. This is an explanation of the Small Claims Court process in Philadelphia from Philadelphia Legal Assistance, as outlined in a brochure from the Philadelphia Municipal Court.
Philadelphia Court of Common Pleas Forms Center
Forms available from the Philadelphia County Court of Common Pleas