Oregon Supplemental Disability Benefits Quarterly Reimbursement Request is a form used by Oregon residents who are receiving Social Security Disability Insurance (SDI) or Supplemental Security Income (SSI) benefits to apply for additional funds to cover specific costs. This request form is divided into four types: • Prescription Drug Subsidy Request: This form is used by Oregon residents to apply for additional funds to cover the cost of prescription drugs. • Home and Community-Based Services Request: This form is used by Oregon residents to apply for additional funds to cover the cost of home and community-based services. • Extended Services Request: This form is used by Oregon residents to apply for additional funds to cover the cost of extended services that are not covered by SDI or SSI benefits. • Personal Needs Allowance Request: This form is used by Oregon residents to apply for additional funds to cover the cost of personal needs that are not covered by SDI or SSI benefits. All requests must be submitted quarterly to the Oregon Department of Human Services.