This is a legal form that was released by the New York State Department of Health - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is form DOH-4495A Supplement A Access Ny - New York?
A: Form DOH-4495A Supplement A Access NY - New York is a form that individuals can use to apply for public assistance programs in New York.
Q: What is Access NY?
A: Access NY is a program in New York that provides access to various public assistance programs, including SNAP (food stamps), Medicaid, and cash assistance.
Q: Who can use form DOH-4495A Supplement A Access NY - New York?
A: Individuals who reside in New York and meet the eligibility requirements for public assistance programs can use this form.
Q: Is there a fee to submit form DOH-4495A Supplement A Access NY - New York?
A: No, there is no fee to submit this form.
Form Details:
Download a printable version of Form DOH-4495A Supplement A by clicking the link below or browse more documents and templates provided by the New York State Department of Health.