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Get NY LDSS-4826 2016

O apply for SNAP If you are blind or seriously visually impaired and need this application in an alternative format, you may request one from your social services district. For additional information regarding the types of formats available and how you can request an application in an alternative format, see the instruction book (LDSS-4826A), or www.otda.ny.gov. If you are blind or seriously visually impaired, would you like to receive written notices in an alternative format? ____ Yes ____ No .

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