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NY LDSS-3152 2006 free printable template

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LDSS3152 NYC (REV. 11/06) FS App/Reap/OP Recoup/Ad Only LDSS3152 NYC (Rev. 11/06) ACTION TAKEN ON YOUR FOOD STAMP BENEFITS CASE (NYC) NAME AND ADDRESS OF AGENCY/CENTER OR DISTRICT OFFICE NOTICE DATE:
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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 in the personal information section, including your name, address, and contact details.
03
Specify the type of assistance you are applying for in the relevant sections.
04
Provide information on your household members, including their names, ages, and relationships to you.
05
Disclose your income sources, such as employment, Social Security, or other benefits.
06
Fill in details about your expenses, including housing, utilities, and childcare costs.
07
Review the form for completeness and accuracy before signing and dating it.
08
Submit the completed form to your local Department of Social Services office.

Who needs NY LDSS-3152?

01
Individuals or families in New York seeking assistance with public assistance programs, such as Temporary Assistance, Supplemental Nutrition Assistance Program (SNAP), or Medicaid.
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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 by the New York State Department of Health to report changes in circumstances for public assistance and food stamp benefits.
Individuals or households receiving public assistance or food stamp benefits in New York State are required to file NY LDSS-3152 when there are changes in their circumstances that may affect their eligibility or benefit amounts.
To fill out NY LDSS-3152, individuals must provide their case number, personal information, and details about the changes in circumstances, including income, household composition, and any other relevant factors.
The purpose of NY LDSS-3152 is to ensure that the Department of Health has up-to-date information regarding changes in a recipient's situation, allowing for accurate assessment of eligibility and benefit amounts.
The information that must be reported on NY LDSS-3152 includes case number, names and social security numbers of household members, income details, changes in household composition, and any other relevant changes affecting benefits.
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