New York State Office of Temporary and Disability Assistance Forms

This Form is used for verifying income in the state of New York for Italian speakers.

This form is used for income verification in Arabic language for residents of New York.

This Form is used for reporting changes in congregate care services in New York.

This form is used for reporting changes in congregated care services in New York for Chinese individuals. It is a requirement to notify the appropriate authorities about any changes in care arrangements.

This type of document is a Form LDSS-5024 for the designated representative in New York. It is used to designate someone to act on your behalf for certain benefits and services.

This form is used for reporting changes in congregate care in the state of New York. It is available in Haitian Creole.

This Form is used for designating a representative in New York who can act on behalf of a Korean-speaking individual in welfare programs.

This form is used for designating a representative for a person living in New York who speaks Italian.

This Form is used for reporting changes in congregated care facilities in New York that serve Italian individuals.

This Form is used for reporting changes in congregate care services in New York in Korean language.

This Form is used for reporting changes to the Comprehensive Care Group in New York. It is in Spanish.

This form is used for reporting changes in congregate care in the state of New York. It is available in Russian.

This Form is used for designating a representative for individuals receiving benefits in New York who speak Russian.

This form is used for designating a representative in New York who can assist with communication and understanding in Haitian Creole.

This Form is used for applying and certifying for TANF (Temporary Assistance for Needy Families) services in the state of New York.

This form is used for applying for TANF Youth Services in New York. It is available in both English and Arabic languages.

This Form is used for applying for TANF Youth Services in New York. It is available in both English and Haitian Creole.

This Form is used for applying for TANF Youth Services in New York. It is available in both English and Chinese. Apply for assistance and services for youth in need.

This form is used for applying and certifying for TANF (Temporary Assistance for Needy Families) services in New York. It is available in Korean language.

This type of document is used for applying for and certifying TANF services in New York.

This form is used for applying for TANF Youth Services in New York. It is available in both English and Korean languages.

This Form is used for applying for TANF (Temporary Assistance for Needy Families) services in New York for Russian-speaking individuals and families.

This Form is used for applying for TANF (Temporary Assistance for Needy Families) services in New York, with the option to fill it out in Haitian Creole.

This form is used for applying for TANF Youth Services in New York. It is available in English and Italian.

This document is a form used in New York to apply for TANF services for young individuals.

This form is used for applying to the TANF Youth Services program in New York. It is available in both English and Russian languages.

This form is used for filing a complaint regarding access to services in your preferred language in the state of New York.

This document is an instruction guide for Form LDSS-2921, which is the New York State Application for Certain Benefits and Services. The instructions help individuals who speak Bengali understand how to complete the form and apply for specific benefits and services in New York.

This document provides instructions for filling out Form LDSS-2921, which is the New York State Application for Certain Benefits and Services. It is available in Chinese and is used by individuals in New York to apply for specific benefits and services.

This form is used for requesting authorization to act as an authorized representative for the Supplemental Nutrition Assistance Program (SNAP) in New York.

This form is used for providing additional information about a child when applying for assistance in New York. The form is available in Arabic language.