Get Ny Ldss-3174 2020-2025

The NY LDSS-3174 is a recertification form used to verify eligibility for various assistance programs. Completing this form accurately online is essential for maintaining your benefits. This guide provides clear, step-by-step instructions to help users navigate each section of the form effectively.

Follow the steps to fill out the NY LDSS-3174 online correctly.

1. Click the ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin by filling out the center/office, interview date, unit ID, worker ID, case type, case number, district, and case name in the designated fields.
3. Indicate the eligibility determination information, including signature and dates for the person who obtained this information, as well as the reason code and effective date.
4. In Section 1, check each program for which you and any household member are recertifying. This includes Public Assistance (PA) and the Supplemental Nutrition Assistance Program (SNAP).
5. Provide your personal information in the recipient information section, including first name, last name, address, phone number, and marital status.
6. Complete additional sections as relevant, including household information, income details, and other relevant personal circumstances.
7. Upon completion, ensure all fields are appropriately filled and review for accuracy.
8. Once satisfied, save your changes to the form, and then you may choose to download, print, or share the form.

Complete your NY LDSS-3174 form online today to ensure your benefits remain uninterrupted.