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LDSS4980 (Rev. 1/11) New York State Employment Assessment Client Name: Date: Arrows: These questions may require attention and/or follow up. Diamonds: Questions that are denoted with a diamond indicate.

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Disability benefits are equal to 50 percent of the employee's average weekly wage for the last eight weeks worked, with a maximum benefit of $170 per week (WCL §204).

Apply by phone: Call SSA at 1-800-772-1213 from 7 a.m. to 7 p.m. Monday through Friday. Apply in person: Visit your local Social Security office. (Call first to make an appointment.)

Call 1-800-772-1213 (TTY 1-800-325-0778), Monday through Friday 7 am to 7 pm.

Questions regarding the HEAP program should be directed to your HEAP Local District Contact or the OTDA Hotline at 1-800-342-3009.

The Office of Temporary and Disability Assistance (OTDA) offers programs for food and temporary cash assistance, heating assistance, child support enforcement, determining eligibility for Social Security disability benefits, and more.

New York Region. Generally, we do not publish the phone numbers of our local offices. You can call us toll-free at 1-800-772-1213 (TTY 1-800-325-0778). By calling 1-800-772-1213, you can use our automated telephone services to get recorded information and conduct some business 24 hours a day.

Barbara C. Guinn is the Executive Deputy Commissioner of the Office of Temporary and Disability Assistance.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232