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  • Recovery Of Equivalent Benefit Request Form - Otda Ny

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Attachment A NYS Office of Temporary & Disability Assistance NYS Supplement Program (SSP) Recovery of Equivalent Benefits (REB) Request Form I. Client Identification Name: Social Security Number.

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If you want to recertify for Medicaid and PA, check (✓) the “Medicaid (MA) and PA” box. If you wish to only recertify for MA, you can go online at https://nystateofhealth.ny.gov/ or call 1-855-355- 5777 for more information or to recertify.

Most benefits are provided on an electronic card that is used like an ATM card. Eligible families may receive up to 60 months of federally funded Cash Assistance under the Temporary Aid to Needy Families Program (TANF).

Recertifications: If you receive a Cash Assistance or SNAP recertification notice by mail or an ACCESS HRA alert that you need to recertify, you must submit your recertification or your benefits will stop. You can use ACCESS HRA, fax, mail, or a drop box at open centers to submit your recertification.

Overview. SSP provides state-funded financial assistance to aged, blind and disabled individuals and is part of the monthly benefit paid to most Supplemental Security Income (SSI) recipients.

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.

NYC Human Resources Administration (HRA) will send a mail-in Recertification/Eligibility Questionnaire in the fifth month. Households must return the form by the 10th day of the sixth month. The form may be returned in the reply envelope provided by HRA, or bring the completed form to your local job center.

Yes. HRA can seek repayment from you whether or not you still have an open cash assistance case.

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.)

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© Copyright 1997-2025
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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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