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Get NY LDSS-3174 2005

WHERE YOU CAN BE REACHED APT. NO. CITY ) ) AREA CODE COUNTY STATE ZIP CODE List the things that have changed since your application or last recertification (such as moved, had a baby, income, etc.) If You Are Reapplying For Food Stamp Benefits (FS), you have the right to turn in (file) this form the same day you get it. It must have at least your Name, Address (if you have one) and Signature below when you turn it in. If you are eligible, you will get FS back to the date you filed. You ma.

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