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

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

What Is Form LDSS-4942?

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. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

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

Q: What is SNAP?
A: SNAP is the Supplemental Nutrition Assistance Program, which provides eligible individuals and families with funds to purchase food.

Q: What is an Authorized Representative?
A: An Authorized Representative is a person who is designated to act on behalf of an SNAP recipient in matters related to their benefits.

Q: Who can use Form LDSS-4942?
A: Form LDSS-4942 can be used by SNAP recipients in New York to designate an Authorized Representative.

Q: How can Form LDSS-4942 be used?
A: Form LDSS-4942 can be used to appoint someone as an Authorized Representative for SNAP benefits, allowing them to help with the application process and manage benefits.

Q: Are there any eligibility requirements to use Form LDSS-4942?
A: To use Form LDSS-4942, you must be a current SNAP recipient in New York.

Q: Is there a fee to use Form LDSS-4942?
A: No, there is no fee to use Form LDSS-4942.

Q: What should I do after submitting Form LDSS-4942?
A: After submitting Form LDSS-4942, you should receive a confirmation from the New York State Office of Temporary and Disability Assistance (OTDA).

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Form Details:

  • Released on October 1, 2016;
  • The latest edition provided by the New York State Office of Temporary and Disability Assistance;
  • Easy to use and ready to print;
  • Available in Haitian Creole;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form LDSS-4942 by clicking the link below or browse more documents and templates provided by the New York State Office of Temporary and Disability Assistance.

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

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