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LDSS4836NYC (Rev. 9/22)New York State Office of Temporary and Disability AssistanceNYSCAP Supplemental Nutrition Assistance Program (SNAP) Benefits Interim Report (NYC)Notice Date: Due Date: Case.

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How to fill out the NY LDSS-4836-NYC online

The NY LDSS-4836-NYC form is essential for individuals participating in the Supplemental Nutrition Assistance Program (SNAP) in New York City. This form allows users to report necessary updates regarding their housing, utility costs, and medical expenses that can affect their benefits. Completing it accurately ensures that you continue to receive the support you need.

Follow the steps to fill out the NY LDSS-4836-NYC form accurately.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Indicate whether you still reside at the address listed on the notice. If you have moved, provide your new address, including the city, state, and zip code.
  3. Specify your housing situation by selecting the appropriate option. Indicate whether you own your home, live in public housing, are homeless, or have another living arrangement. If applicable, provide details about your monthly rent or mortgage payment.
  4. For homeowners, indicate whether property taxes and insurance are included in your mortgage payment. If not, provide the amounts you pay each year for property taxes and homeowners insurance.
  5. Answer whether anyone new has moved into or out of your household. If yes, provide the name and relationship of the individual.
  6. Proceed to Section 2 if you pay for heating separately. Answer whether you pay a heating or utility company directly for heat and provide details about your main heating source.
  7. If applicable, provide your heating account number and the name and address of your heating company.
  8. Continue to Section 3, answering whether you pay for any separate monthly air conditioning or electric costs and providing details about your utility account and company.
  9. If you have any unreimbursed medical expenses, indicate this in Section 4 and provide the monthly amount you pay for these expenses.
  10. Finally, ensure you print and sign your name, along with the date, before returning the completed form to the specified address.

Complete your NY LDSS-4836-NYC form online today to ensure your SNAP benefits continue seamlessly.

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SNAP Income Limits—Oct. 1, 2023 through Sept. 30, 2024 Household SizeGross monthly income (130% of poverty)Net monthly income (100% of poverty) 1 $1,580 $1,215 2 $2,137 $1,644 3 $2,694 $2,072 4 $3,250 $2,5001 more row

SNAP Benefit Calculation for Individuals Maximum Monthly Benefit: In the fiscal year 2024, the maximum monthly SNAP benefit for a single-person household is $291.

Case Status and Information Connect your case with HRA to view benefit information. For detailed information about your SNAP or Cash cases, or to schedule an appointment: Call the Human Resources Administration (HRA) information line at 718-557-1399. For SCRIE/DRIE: Call 3-1-1.

Families with eligible school-age children will receive $120 in Summer EBT food benefits (per child) in 2024. Summer EBT benefits can be used just like SNAP benefits to buy food at grocery stores, farmers markets, and other SNAP-authorized retailers. Summer EBT food benefits will not be issued before July 2024.

Calculating Benefit Amounts Copy link TABLE 1 SNAP Benefits by Household Size Copy link 1 $291 $202 2 $535 $372 3 $766 $5987 more rows • Oct 2, 2023

You also need to meet one of the following requirements: You have a current bank balance (savings and checking combined) under 2,001 dollars. You have a current bank balance (savings and checking combined) under 3,001 dollars and share your household with a person 60 or over or with a relative with a disability.

Calculating Benefit Amounts Copy link TABLE 1 SNAP Benefits by Household Size Copy link 1 $291 $202 2 $535 $372 3 $766 $5987 more rows • Oct 2, 2023

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