LDSS 5166 Application/Recertification for Supplemental ...

otda.ny.gov

3 . LDSS-5166 (Rev. 9/20) New York State Office of Temporary and Disability Assistance . Instructions for Completing the Application Form • Try to answer as many questions as you can.

  York, States, Applications, Office, Assistance, Supplemental, Disability, Temporary, Recertification, New york state office of temporary and disability assistance, Recertification for supplemental