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Rm and these instructions are numbered by section to help you. Please keep the following in mind when filling out the recertification form: PLEASE PRINT CLEARLY. DO NOT WRITE IN THE SHADED AREAS. BE SURE TO COMPLETE EACH SECTION RELEVANT TO THE PERSON(S) FOR WHOM YOU ARE RECERTIFYING. ALWAYS USE LEGAL NAMES, UNLESS OTHERWISE INSTRUCTED. IF YOU ARE RECERTIFYING AS SOMEONE'S REPRESENTATIVE, PLEASE PROVIDE INFORMATION ABOUT THAT PERSON, NOT YOURSELF. MAKE SURE THAT BOTH Y.

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How to fill out the PUB-1313 Statewide (Rev online)

The PUB-1313 Statewide recertification form is crucial for individuals seeking to maintain eligibility for various assistance programs in New York State. This guide provides clear, step-by-step instructions to help users navigate each section of the form successfully.

Follow the steps to complete the PUB-1313 recertification form with confidence.

  1. Press the ‘Get Form’ button to access the PUB-1313 Statewide form and open it in your document editor.
  2. Begin with the front page where specific sections require your attention. Ensure that you print your responses clearly.
  3. Indicate if you wish to receive written notices in an alternative format by checking 'Yes' or 'No.' If yes, select your preferred format.
  4. In Section 1, check the programs for which you or any household member is recertifying by marking the appropriate boxes.
  5. Proceed to Section 2 and indicate your primary language as well as the language(s) in which you would like to receive notices.
  6. Fill out Section 3 with your personal information, including legal names, marital status, and contact details. Ensure accuracy in this critical section.
  7. In Section 4, if applicable, read the statements pertaining to SNAP and sign where indicated.
  8. Complete Section 6 by listing all household members along with their required details such as name, date of birth, sex, and relationship to you.
  9. Proceed to Sections 8 through 10, providing information on race/ethnicity, citizenship status, and completing any certifications needed.
  10. Once all sections relevant to you have been completed, review the document for any missed fields or errors.
  11. Finally, save your changes, download, print, or share the completed form as needed.

Complete and submit your PUB-1313 Statewide recertification form online to ensure continued access to your benefits.

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Questions & Answers

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Contact support

Call NY State of Health at 1-855-355-5777 (TTY: 1-800-662-1220) Log into your account at nystateofhealth.ny.gov, or. Contact an enrollment assistor.

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.

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.

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.

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