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PUB 1301 - Instructions for Completing the Application for ...

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).

If you are blind or seriously visually impaired, you may choose to receive notices regarding the program(s) for which you apply/enroll in an alternative format. Alternative formats are available in large print, data CD, audio CD, or Braille, if you assert that none of the other alternative formats will be equally effective for you.

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