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NY DSS-7s (E) - New York City 2024-2025 free printable template

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DSS7s (E) 01/29/2024 (page 1 of 3) LLFRequest for a Modification to Your CityFHEPS Rental Assistance Supplement Amount Complete this form if your income has changed and you are seeking a modification
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How to fill out NY DSS-7s (E) - New York City

01
Obtain the NY DSS-7s (E) form from the New York City Human Resources Administration website or local office.
02
Fill in your personal information at the top of the form including your name, address, and contact details.
03
Indicate the type of assistance you are applying for by checking the appropriate boxes.
04
Provide details about your household composition, including the names and relationships of all members living with you.
05
Complete the income section by listing all sources of income for you and your household members.
06
Fill out the expense section to declare any monthly expenses you have, such as rent, mortgage, and utilities.
07
Sign and date the form at the designated area to authenticate your application.
08
Submit the completed form either online, via mail, or in-person at your local HRA office.

Who needs NY DSS-7s (E) - New York City?

01
Individuals or families in New York City who are applying for social services or public assistance programs, such as food stamps or cash assistance.
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NY DSS-7s (E) is a form used by the New York City Department of Social Services to report certain financial information for specific individuals or cases.
Individuals or entities who receive certain types of public assistance or support from the New York City Department of Social Services are required to file the NY DSS-7s (E) form.
To fill out the NY DSS-7s (E), individuals must provide personal information, details about their financial situation, and any relevant case information as instructed on the form.
The purpose of the NY DSS-7s (E) form is to collect and report financial information necessary for the evaluation of eligibility and benefits related to public assistance programs.
The NY DSS-7s (E) requires reporting information such as income, assets, household composition, and any other relevant financial data that may impact eligibility for assistance.
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