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INSTRUCTIONS FOR COMPLETING THE NEW YORK …

PUB-1301 Statewide (Rev. 7/16) INSTRUCTIONS FOR COMPLETING THE NEW YORK STATE APPLICATION FOR: PUBLIC assistance CHILD CARE IN LIEU OF PUBLIC assistance SUPPLEMENTAL nutrition assistance PROGRAM MEDICAID AND SUPPLEMENTAL nutrition assistance PROGRAM MEDICAID AND PUBLIC assistance SERVICES, INCLUDING FOSTER CARE CHILD CARE assistance EMERGENCY assistance ONLY PUB-1301 Statewide (Rev. 7/16) PAGE 1 If you are blind or seriously visually impaired and need an application or these INSTRUCTIONS in an alternative format, you may request them from your social services district (SSD). The following alternative formats are available: Large print; Data format (a screen reader-accessible electronic file); Audio format (an audio transcription of the INSTRUCTIONS or application questions); and Braille, if you assert that none of the alternative formats above will be equally effective for you.

pub-1301 statewide (rev. 7/16) instructions for completing the new york state application for: public assistance child care in lieu of public assistance supplemental nutrition assistance program medicaid and supplemental nutrition assistance program medicaid and public assistance services, including foster care child care assistance

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