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This application can ONLY be used to apply for SNAP

LDSS-4 826 (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 notic

If you are recertifying for SNAP, list on Page 9 what has changed since your last application or recertification (such as moved, had a baby, someone moved in or out of your household). You may use page 9 if you need more room or there is other information that you think we might need.

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