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NY LDSS-4826 2008 free printable template

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NEW YORK STATE OFFICE OF TEMPORARY AND DISABILITY ASSISTANCE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) APPLICATION/RECERTIFICATION SNAP is the new name for the Food Stamp Program Use this form
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You will need your SNAP ID card to verify your SNAP eligibility. You will need your identification number on the application. This application must be signed. This form will not be accepted by DSS until you have a SNAP number. How do I Apply for SNAP? Go to Click on “Apply for SNAP” Enter the information requested on the form Check the “I am applying for” box to verify your eligibility Wait for the results to be received by the state. Depending on the state where you live you may be able to receive up to 20 weeks of financial assistance during the first year of your residence. After the 1st or 2nd year of residency the assistance may be reduced to 50 weeks. You then need to apply for and obtain your state issued ID for your benefit. How do I know if I Qualify for SNAP? You can find out if you qualify for the SNAP by signing up online (see below) and then taking the survey that is filled out. If you qualify you will receive your SNAP benefit card and can use this to locate your current benefits. You can contact all the states for which the survey was sent to if you have questions. The survey is also a great tool to see if you qualify for other government benefits as well. You can visit the state's website for more information. What happens after I sign up? The state will mail you a voucher to be used at a local SNAP retailer. You must use your voucher to purchase food at the SNAP retailer as you will not receive any cash assistance from DSS if you use your voucher to make a purchase at the supermarket. Do I have to use my voucher at the retailer? No. Vouchers are not valid at all SNAP discount stores. If your eligible store does not have a special discount or if the discount is for a small amount, you may want to use the voucher at the nearest supermarket or food co-op. You will not receive any additional or reduced benefits if you do not use your voucher at the store you have chosen to use the voucher at. It is important that you have a voucher, otherwise your benefits will be stopped. If you need assistance, please call your local SNAP office at 1-800-SNAP-15 or. You may also go to and choose “Application/Recertification” to verify eligibility.

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