Instructions for Form LDSS-2921 New York State Application for Certain Benefits and Services - New York (Haitian Creole)

This document contains official instructions in Haitian Creole for Form LDSS-2921 , New York State Application for Certain Benefits and Services - a form released and collected by the New York State Office of Temporary and Disability Assistance.

FAQ

Q: What is Form LDSS-2921?
A: Form LDSS-2921 is the New York State Application for Certain Benefits and Services in Haitian Creole language.

Q: What is the purpose of Form LDSS-2921?
A: The purpose of Form LDSS-2921 is to apply for certain benefits and services provided by the state of New York in Haitian Creole.

Q: Who can use Form LDSS-2921?
A: Individuals who speak Haitian Creole and want to apply for benefits and services in New York can use Form LDSS-2921.

Q: Are there any fees to submit Form LDSS-2921?
A: No, there are no fees to submit Form LDSS-2921.

Q: What benefits and services can I apply for using Form LDSS-2921?
A: You can apply for various benefits and services such as Medicaid, SNAP (Supplemental Nutrition Assistance Program), Temporary Assistance, and other programs offered by the state of New York.

Q: Are there any eligibility requirements for these benefits and services?
A: Yes, there are eligibility requirements for each benefit and service. The specific requirements will be outlined in the application.

Q: What should I do if I need help filling out Form LDSS-2921?
A: If you need help filling out Form LDSS-2921, you can contact the New York State Department of Social Services or seek assistance from a local community organization.

Q: Is Form LDSS-2921 available in other languages?
A: Yes, Form LDSS-2921 is available in multiple languages including Haitian Creole.