This version of the form is not currently in use and is provided for reference only. Download this version of Instructions for Form LDSS-3174 for the current year.
This document contains official instructions for Form LDSS-3174 , New York State Recertification Form for Certain Benefits and Services - a form released and collected by the New York State Office for People With Developmental Disabilities.
Q: What is Form LDSS-3174?
A: Form LDSS-3174 is the New York State Recertification Form for Certain Benefits and Services.
Q: Who needs to complete Form LDSS-3174?
A: Individuals who are already receiving certain benefits and services in New York State need to complete Form LDSS-3174 for recertification.
Q: What benefits and services does Form LDSS-3174 cover?
A: Form LDSS-3174 covers a variety of benefits and services in New York State, such as Medicaid, SNAP (Supplemental Nutrition Assistance Program), Temporary Assistance, and Child Care Assistance.
Q: Why do I need to recertify my benefits and services?
A: Recertifying your benefits and services ensures that you continue to be eligible and receive the assistance you need.
Q: When do I need to submit Form LDSS-3174?
A: The specific deadline to submit Form LDSS-3174 for recertification will be stated on the form. It is important to submit it before the deadline to avoid any disruptions in your benefits.
Q: What information do I need to provide on Form LDSS-3174?
A: You will need to provide personal information, such as your name, address, Social Security number, and information about your household. You may also need to provide documentation or verification of certain factors, such as income and expenses.
Q: Can I get help filling out Form LDSS-3174?
A: Yes, you can get assistance with filling out Form LDSS-3174. You can contact your local Department of Social Services (LDSS) office for guidance or seek help from a community organization that provides assistance with benefits applications.
Q: What should I do if I have questions about Form LDSS-3174?
A: If you have questions about Form LDSS-3174, you can reach out to your local Department of Social Services (LDSS) office for clarification or seek assistance from a community organization.
Instruction Details:
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