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Get NY LDSS-4887 2018-2024

Ed eligibility for Temporary Assistance (TA) and Supplemental Nutrition Assistance Program (SNAP) you must complete this form, sign, date it and return it to us at the address on the first page of the notice by: RETURN DATE For TA this form is considered a mail-in recertification form. For SNAP it is an Eligibility Questionnaire. You must enclose copies of letters or documents that verify the changes you report. In addition, if you or a family member has a job (earned income) you must submit t.

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