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This application can ONLY be used to apply for SNAP

LDSS-4826A (Rev. 2/18). NEW york STATE office OF temporary AND disability assistance . HOW TO COMPLETE THE SUPPLEMENTAL NUTRITION assistance PROGRAM (SNAP) application /RECERTIFICATION. AND APPLICANT/RECIPIENT RIGHTS AND RESPONSIBILITIES FOR SNAP. this application can only be used to apply for SNAP. 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.

ldss-4826a (rev. 2/18) . new york state office of temporary and disability assistance . how to complete the supplemental nutrition assistance program (snap ...

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