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I. Purpose
The purpose of this release is to introduce revisions to the following mandatory client notices:
LDSS-2114: "Continuing Your Public Assistance, Medical Assistance and/or Food Stamp
Benefits"(Statewide) (Rev.4/03)
LDSS 3152: "Action Taken on Your Food Stamp Case" (Rest of State) (Rev.2/03)
LDSS-3152 NYC: "Action Taken on Your Food Stamp Case" (NYC) (Rev.2/03)
LDSS-3153: "Continuing Your Food Stamp Benefits" (Statewide) - FORM OBSOLETE
LDSS-3156: "Notice of Food Stamp Overpayment (Demand Letter) (Timely and Adequate)"
(Rev.2/03)
LDSS-3156 NYC: "Notice of Food Stamp Overpayment (Demand Letter) (Timely and Adequate)" (NYC) (Rev.2/03)
LDSS-3620: "Notice of Intent To Change Food Stamp Benefits (Timely and Adequate)"
(Rev.2/03)
LDSS-3620 NYC: "Notice of Intent To Change Food Stamp Benefits (Timely and Adequate)" (NYC) (Rev.2/03)
LDSS-3621: "Notice of Intent To Change Food Stamp Benefits (Adequate Only)" (Rev.2/03)
LDSS-3621 NYC: "Notice of Intent To Change Food Stamp Benefits (Adequate Only)" (NYC)
(Rev.2/03)
LDSS-3969A: "Notice of Action on Your Application/Benefit For The Child Assistance Program, Status of Medical Assistance, Food Stamp Benefits and Services - PART A" (Rev.3/03)
LDSS-3969B: "Notice of Action on Your Application/Benefit For The Child Assistance Program, Status of Medical Assistance, Food Stamp Benefits and Services - PART B" (Rev.3/03)
LDSS-4013A: "Action Taken On Your Application: Public Assistance, Food Stamp Benefits and
Medical Assistance Coverage - PART A" (Rev.2/03)
LDSS-4013A NYC: "Action Taken On Your Application: Public Assistance, Food Stamp Benefits and Medical Assistance Coverage - PART A" (NYC) (2/03)
LDSS-4013B: "Action Taken On Your Application: Public Assistance, Food Stamp Benefits and Medical Assistance Coverage - PART B" (Rev.2/03)
LDSS-4013B NYC: "Action Taken On Your Application: Public Assistance, Food Stamp Benefits and Medical Assistance Coverage - PART B" (NYC) (2/03)
LDSS-4014A: "Action Taken On Your Recertification: Public Assistance, Food Stamp Benefits,
Medical Assistance Coverage and Services - PART A" (Rest of State) (Rev.2/03)
LDSS-4014A NYC: "Action Taken On Your Recertification: Public Assistance, Food Stamp Benefits, Medical Assistance Coverage and Services - PART A" (NYC) (2/03)
LDSS-4014B: "Action Taken On Your Recertification: Public Assistance, Food Stamp Benefits,
Medical Assistance Coverage and Services - PART B" (Rest of State) (Rev.2/03)
LDSS-4014B NYC: "Action Taken On Your Recertification: Public Assistance, Food Stamp Benefits, Medical Assistance Coverage and Services - PART B" (NYC) (2/03)
LDSS-4015A: "Notice of Intent To Change Benefits: Public Assistance, Food Stamp Benefits,
Medical Assistance Coverage and Services - PART A (Timely & Adequate)"
(Rest of State) (Rev.2/03)
LDSS-4015A NYC: "Notice of Intent To Change Benefits: Public Assistance, Food Stamp Benefits, Medical Assistance Coverage and Services - PART A (Timely & Adequate)"
(NYC) (2/03)
LDSS-4015B: "Notice of Intent To Change Benefits: Public Assistance, Food Stamp Benefits,
Medical Assistance Coverage and Services - PART B (Timely & Adequate)" (Rest of State) (Rev.2/03)
LDSS-4015B NYC: "Notice of Intent To Change Benefits: Public Assistance, Food Stamp Benefits, Medical Assistance Coverage and Services - PART B (Timely & Adequate)"
(NYC) (2/03)
LDSS-4016A: "Notice of Intent To Change Benefits: Public Assistance, Food Stamp Benefits,
Medical Assistance Coverage and Services - PART A (Adequate Only)" (Rest of State) (Rev.2/03)
LDSS-4016A NYC: "Notice of Intent To Change Benefits: Public Assistance, Food Stamp Benefits, Medical Assistance Coverage and Services- PART A (Adequate Only)"
(NYC)(2/03)
LDSS-4016B: "Notice of Intent To Change Benefits: Public Assistance, Food Stamp Benefits,
Medical Assistance Coverage and Services - PART B (Adequate Only)" (Rest of State) (Rev.2/03)
LDSS-4016B NYC: "Notice of Intent To Change Benefits: Public Assistance, Food Stamp Benefits, Medical Assistance Coverage and Services - PART B (Adequate Only)" (NYC) (2/03)
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