Requires Division of Aging Services to establish one application form for programs providing services to certain adults.

This bill requires New Jersey's Division of Aging Services to create a single application form for individuals aged 65 or older, or aged 18-64 receiving Social Security Disability, who are eligible for state and federal programs administered by the division. The form must include all necessary information to determine eligibility for every program, replacing multiple separate forms. The division must automatically enroll eligible applicants in all programs unless they specifically opt out or are found ineligible.