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NEW YORK STATE OFFICE OF TEMPORARY AND DISABILITY ASSISTANCE 40 NORTH PEARL STREET ALBANY, NY 122430001 Andrew M. Cuomo Governor Administrative Directive Section 1 Transmittal: To: Issuing Division/Office
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How to fill out 13-adm-02 temporary assistance and:

01
Start by obtaining the 13-adm-02 form from the appropriate source, such as an online government website or a local social services office.
02
Begin by providing your personal information, including your name, address, phone number, and Social Security number. Make sure to double-check that all the details are accurate and up to date.
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Next, indicate the type of temporary assistance you are seeking by selecting the appropriate option from the provided choices. This could include basic needs such as food assistance, medical assistance, or housing assistance.
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If applicable, provide details about any dependents you have, such as children or elderly family members, who may also be eligible for assistance. Include their names, ages, and any additional information required.
05
Proceed to the financial section of the form, where you will need to disclose your income and expenses. Be thorough and honest in your reporting, as any discrepancies may affect your eligibility for assistance. Provide detailed information about your employment status, sources of income, and any additional financial resources you may have.
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If you are applying for specific assistance programs, such as housing or medical assistance, you may be required to provide additional documentation. Make sure to carefully review the instructions on the form and attach any necessary supporting documents, such as proof of income, utility bills, or medical records.
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Finally, carefully review all the information you have provided on the form. Make any necessary corrections or additions before signing and dating the document. By signing, you are certifying the accuracy of the information provided and acknowledging that you understand the consequences for providing false or misleading information.

Who needs 13-adm-02 temporary assistance and:

01
Individuals who are facing financial difficulties and require temporary assistance in meeting their basic needs may need to fill out the 13-adm-02 form.
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This form is applicable to individuals who may require assistance in various areas, such as food, medical care, housing, and other essential services.
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People who are experiencing a sudden change in their financial situation, such as unemployment or a medical emergency, may find it necessary to seek temporary assistance through the 13-adm-02 form.
Overall, the 13-adm-02 temporary assistance form is designed to help individuals in need access the necessary resources to overcome financial challenges and ensure their basic needs are met.
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13-adm-02 temporary assistance is a form used to request temporary financial assistance from the government.
Individuals or families facing financial hardship may be required to file 13-adm-02 temporary assistance.
To fill out 13-adm-02 temporary assistance, you must provide personal and financial information as requested on the form.
The purpose of 13-adm-02 temporary assistance is to provide aid to those in need during times of financial crisis.
Information such as income, expenses, and assets must be reported on 13-adm-02 temporary assistance.
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