Transcription of This application can ONLY be used to apply for SNAP
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This application can ONLY be used to apply for SNAP
LDSS-4826 (Rev. 3/17). NEW YORK STATE OFFICE OF TEMPORARY AND DISABILITY ASSISTANCE. SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM. (SNAP) application /RECERTIFICATION. This application can ONLY be used to apply for SNAP. If you are blind or seriously visually impaired and need this application in an alternative format, you may request one from your social services district. For additional information regarding the types of formats available and how you can request an application in an alternative format, see the instruction book (LDSS-4826A), or If you are blind or seriously visually impaired, would you like to receive written notices in an alternative format? ____ Yes ____ No If Yes, check the type of format you would like: ___ Large Print ___ Data CD ___ Audio CD. ___ Braille, if you assert that none of the other alternative formats will be equally effective for you. If you require another accommodation, please contact your social services district.
If you are only applying for SNAP you can use this shorter application. If you would like to apply for other benefits such as Temporary Assistance, Child Care Assistance, Home
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