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PUB 1313 - Instructions for Completing the Recertification ...

PUB-1313 Statewide ( ) Instructions FOR Completing THE NEW YORK STATE Recertification FORM FOR: PUBLIC ASSISTANCE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM MEDICAID AND SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM MEDICAID AND PUBLIC ASSISTANCE PUB-1313 Statewide (Rev7/20) PAGE 1 If you are blind or seriously visually impaired and need an application/ Recertification form 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/ Recertification questions) Braille, if you assert that none of the alternative formats above will be equally effective for you Applications/ Recertification forms and Instructions are also available for download in large print, data format and audio format from or Please note that applications/ Recertification forms are available in audio format and Braille solely for informational purposes.

pub-1313 statewide (rev.7/20) . instructions for completing the new york state recertification form for: • public assistance • supplemental nutrition assistance program • medicaid and supplemental nutrition assistance program • medicaid and public assistance

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