DSS4148A (Rev
What You Should Know About Your Rights and Responsibilities . LDSS-4148A (Rev. 07/16) 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. The following
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This application can ONLY be used to apply for SNAP
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LDSS-5004 (Rev. 10/17) Electronic Benefit Transfer …
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otda.ny.govWhen you see MA“ ” on the application, it means Medicaid“ .” You may apply for MA using this application only if you are also applying for Public Assistance the or Supplemental Nutrition Assistance Programat the same time.
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