Form LDSS-4942 Supplemental Nutrition Assistance Program (Snap) Authorized Representative Request Form - New York (Haitian Creole)

This is a legal form that was released by the New York State Office of Temporary and Disability Assistance - a government authority operating within New York.

The document is provided in Haitian Creole. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is LDSS-4942 form?
A: LDSS-4942 form is the Supplemental Nutrition Assistance Program (SNAP) Authorized Representative Request Form.

Q: Who can use LDSS-4942 form?
A: Individuals or households in New York who want to designate an authorized representative for their SNAP benefits can use LDSS-4942 form.

Q: What is an authorized representative?
A: An authorized representative is someone who is given legal permission to act on behalf of an individual or household for SNAP benefits.

Q: What is the purpose of LDSS-4942 form?
A: The purpose of LDSS-4942 form is to designate an authorized representative for SNAP benefits.

Q: Is LDSS-4942 form available in Haitian Creole?
A: Yes, LDSS-4942 form is available in Haitian Creole for residents of New York.

Q: How do I fill out LDSS-4942 form?
A: You need to provide personal information about yourself and your authorized representative, such as names, addresses, and signatures.

Q: Can I change my authorized representative?
A: Yes, you can change your authorized representative at any time by submitting a new LDSS-4942 form.

Q: Will my authorized representative have access to my personal information?
A: Yes, your authorized representative will have access to your personal information related to your SNAP benefits.

Q: Is there a deadline to submit LDSS-4942 form?
A: There is no specific deadline to submit LDSS-4942 form, but it is recommended to submit it as soon as possible if you want to designate an authorized representative.