Follow the steps to fill out the NY LDSS-4887 online.

1. Click the ‘Get Form’ button to obtain the form and open it in the appropriate editor.
2. Begin by entering your district code, office, unit, worker name, case name, and case number. Ensure all entries are accurate to prevent any issues with your application.
3. For the first question, indicate your need for Temporary Assistance, SNAP, and Medical Assistance by checking 'Yes' or 'No' for each.
4. Respond to whether anyone has moved into or out of your household since your last report. If 'Yes', fill out the required information for verification, including social security numbers and relationship.
5. Report any changes in income for you or anyone in your household by indicating 'Yes' or 'No' for each source of income and providing the necessary amounts and documentation.
6. Indicate if there have been any changes to your rent, pregnancy or disability status, resources, and other changes, ensuring to provide the appropriate verification documents as needed.
7. Sign and date the form, and ensure that any spouse or authorized representative also signs if applicable.
8. Submit the completed form along with any required documentation by the specified return date. Save changes, download it, or print your final submission for your records.

Complete your NY LDSS-4887 form online today to ensure timely processing of your benefits.