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This informational letter introduces the revised LDSS-4579: 'Alien Eligibility Desk Aid' intended to assist local district staff in determining the eligibility of aliens for Temporary Assistance,
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How to fill out LDSS-4579

01
Obtain the LDSS-4579 form from your local social services office or the official website.
02
Fill in the applicant's name, address, and contact information at the top of the form.
03
Provide details about household members, including names, relationships, and personal information.
04
Specify the income sources for each household member and document their amounts.
05
List any assets owned by the household, such as property, bank accounts, and vehicles.
06
Indicate any expenses that apply, such as rent or mortgage payments, utility bills, and childcare costs.
07
Review all entries for accuracy and completeness before signing the form.
08
Submit the completed form to your local social services office for processing.

Who needs LDSS-4579?

01
Individuals or families applying for public assistance programs, such as Medicaid or food stamps, may need to complete LDSS-4579.
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LDSS-4579 is a form used in New York State for reporting changes in circumstances that may affect eligibility or benefits for assistance programs.
Individuals receiving benefits from programs such as Temporary Assistance, Supplemental Nutrition Assistance Program (SNAP), or Medicaid are required to file LDSS-4579 if there are changes in their circumstances.
To fill out LDSS-4579, individuals should provide information about their current living situation, income, household composition, and any other relevant changes. It is important to complete all sections and sign the form.
The purpose of LDSS-4579 is to ensure that the information used to determine an individual's eligibility for assistance programs is up to date and accurate, which helps maintain the integrity of public assistance programs.
Information that must be reported on LDSS-4579 includes changes in income, household members, employment status, living arrangements, and any other significant changes that may affect benefits.
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