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This Informational Letter provides details about changes made to the LDSS-3370 Form, which is used for screening applicants through the New York State Statewide Central Register to check for any indicated
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How to fill out LDSS-3370

01
Start by writing your name and address at the top of the form.
02
Fill in details about your household members, including their names, ages, and relationships to you.
03
Provide information about your income, including wages, benefits, and any other sources of income.
04
List your expenses, such as rent, utilities, and childcare costs.
05
Indicate any assets you have, including bank accounts, property, and vehicles.
06
Review the form to ensure all information is accurate and complete.
07
Sign and date the form at the bottom.

Who needs LDSS-3370?

01
Individuals and families seeking assistance with public assistance programs, including Temporary Assistance (TA) and Supplemental Nutrition Assistance Program (SNAP) benefits.
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LDSS-3370 is a form used in New York State for reporting changes in an applicant's or recipient's circumstances for public assistance and food stamp programs.
Individuals who are applying for or receiving public assistance or food stamp benefits in New York State are required to file LDSS-3370 when there are changes in their circumstances.
To fill out LDSS-3370, complete the form by providing necessary information such as your name, case number, and details of your changes in income, household composition, and expenses, and then submit it to the appropriate agency.
The purpose of LDSS-3370 is to ensure that the New York State social services agencies have up-to-date information regarding an individual's eligibility for benefits, enabling them to adjust assistance as necessary.
Information that must be reported on LDSS-3370 includes changes in income, employment status, household members, address, and any other circumstances that may affect eligibility for benefits.
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