This version of the form is not currently in use and is provided for reference only. Download this version of
Form LDSS-5166
for the current year.
Form LDSS-5166 Application / Recertification for Supplemental Nutrition Assistance Program (Snap) Benefits - New York (Arabic)
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Download Form LDSS-5166 Application / Recertification for Supplemental Nutrition Assistance Program (Snap) Benefits - New York (Arabic)