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NY LDSS-3152 2010-2025 free printable template

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LDSS-3152 NYC (REV. 4/10) FS App/Reap/OP Recoup/Ad Only LDSS-3152 NYC (Rev. 4/10) ACTION TAKEN ON YOUR FOOD STAMP BENEFITS CASE (NYC) NOTICE DATE: NAME AND ADDRESS OF AGENCY/CENTER OR DISTRICT OFFICE
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How to fill out NY LDSS-3152

01
Obtain the NY LDSS-3152 form from the New York State Office of Temporary and Disability Assistance website or local office.
02
Fill out the top section with your personal information, including your name, address, and phone number.
03
Complete the sections regarding your household members, including their names, dates of birth, and relationship to you.
04
Provide details about your income sources, such as wages, benefits, or other financial support, and include the amount for each source.
05
List any expenses you may have, including housing costs, childcare, and medical expenses, along with the amounts.
06
Review the application for accuracy and completeness.
07
Sign and date the form to certify that all information provided is truthful and complete.
08
Submit the completed form online, by mail, or in person to your local assistance office.

Who needs NY LDSS-3152?

01
Individuals or families applying for public assistance, including safety net assistance, family assistance, or food stamps, may need NY LDSS-3152.
02
It is often required for those seeking eligibility for social services programs in New York State.
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People Also Ask about

Questions regarding the HEAP program should be directed to your HEAP Local District Contact or the OTDA Hotline at 1-800-342-3009.
Your net income is your gross income minus any allowable deductions. And assets are "countable resources" like cash, money in a bank account, and certain vehicles. For fiscal year 2023 (Oct. 1, 2022 – Sept. 30, 2023), a two-member household with a net monthly income of $1,526 (100% of poverty) might qualify for SNAP.
The Office of Temporary and Disability Assistance (OTDA) is responsible for supervising programs that provide assistance and support to eligible families and individuals.
The LDSS-3152NYC has been revised on Page 1 under “Approved”, #7 “Animal Population Control Program (APCP)”. Information has been updated to advise that, in this program, eligible people can have their cat or dog spayed/neutered for “free or low cost”, and “to schedule an appointment near you, call (877) SPAY-NYC”.
Get Help Applying for SNAP Family SizeMonthly Gross Income*Annual Gross Income*1$1,473$17,6762$1,984$23,8083$2,495$29,9404$3,007$36,0845 more rows
Or you can call 718-557-1399.

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NY LDSS-3152 is a form used in New York State for reporting changes in circumstances that may affect a person's eligibility for social services benefits.
Anyone who is receiving social services benefits in New York State and experiences a change in their circumstances, such as changes in income, household composition, or living situation, is required to file NY LDSS-3152.
To fill out NY LDSS-3152, individuals should provide accurate information regarding their current situation, including personal details, changes in income, employment, household members, and any other relevant factors.
The purpose of NY LDSS-3152 is to ensure that social services agencies have the updated information needed to assess an individual's ongoing eligibility for benefits and to determine the appropriate level of assistance.
The information that must be reported on NY LDSS-3152 includes personal identification details, changes in income, changes in employment status, changes in family composition, and any other significant changes affecting eligibility for benefits.
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