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David A. Paterson Governor NEW YORK STATE OFFICE OF TEMPORARY AND DISABILITY ASSISTANCE 40 NORTH PEARL STREET ALBANY, NY 122430001 David A. Hansel Commissioner Administrative Directive Section 1 Transmittal:
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How to fill out 08-adm-05 ssi screening-identification referral
To fill out 08-adm-05 SSI screening-identification referral, follow these steps:
01
Start by entering the date of the referral at the top of the form.
02
Fill in the client's personal information, including their name, date of birth, address, and contact information.
03
In the next section, provide details about the client's current living arrangements, such as whether they live alone, with a caregiver, or in a residential facility.
04
Indicate the client's primary language and whether an interpreter is needed during the screening process.
05
Provide information about the client's medical conditions, including any physical or mental impairments that may affect their ability to work.
06
In the next section, describe any disabling conditions that the client may have. Include as much detail as possible to help determine eligibility for SSI.
07
Specify any additional information or documentation that is attached or will be sent separately as part of the referral.
08
Include the name, contact information, and signature of the referring person or agency.
Who needs 08-adm-05 SSI screening-identification referral?
01
Individuals who are seeking Supplemental Security Income (SSI) benefits can use this referral form.
02
Caregivers or family members of individuals who believe they are eligible for SSI can also complete this referral form on their behalf.
03
Social service agencies, medical professionals, or other organizations that work with individuals who may qualify for SSI benefits can use this form to refer them for screening and identification.
The 08-adm-05 SSI screening-identification referral is necessary for initiating the process of determining eligibility for SSI benefits.
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What is 08-adm-05 ssi screening-identification referral?
08-adm-05 ssi screening-identification referral is a form used to screen and identify individuals who may be eligible for Supplemental Security Income (SSI) benefits.
Who is required to file 08-adm-05 ssi screening-identification referral?
Social workers, healthcare providers, case managers, or any other individual who may come in contact with someone needing assistance may be required to file 08-adm-05 ssi screening-identification referral.
How to fill out 08-adm-05 ssi screening-identification referral?
08-adm-05 ssi screening-identification referral should be filled out with accurate information about the individual in need, including personal details and reasons for the referral.
What is the purpose of 08-adm-05 ssi screening-identification referral?
The purpose of 08-adm-05 ssi screening-identification referral is to help identify individuals who may qualify for SSI benefits and connect them with the necessary resources.
What information must be reported on 08-adm-05 ssi screening-identification referral?
Information such as the individual's name, contact information, medical history, financial status, and reasons for the referral must be reported on 08-adm-05 ssi screening-identification referral.
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