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I. PURPOSE
This directive:
A. Informs social services districts of a provision of the Mickey
Leland Memorial Domestic Hunger Relief Act (the Leland Act)
which amends the Food Stamp Act to provide that one adult
representative of a household may attest, under penalty of
perjury, to the truth of the information in the application,
including information indicating that all household members are
United States citizens/nationals or aliens eligible for
participation under the alien provisions of the Food Stamp Act.
B. Informs social services districts of changes to application and
recertification procedures and forms to reflect this change in
the Food Stamp requirement. The following forms and their
Spanish equivalents are affected:
DSS-2921 and DSS-2921(NYC): "Application for PA, MA, FS,
Services" (Upstate and NYC versions)
DSS-3174: "Recertification for PA, MA, FS" (Statewide)
DSS-3035 and DSS-3035(NYC): "Food Stamp Statement for SSI
Recipients and Group Living Residents" (Upstate and NYC
versions)
PUB-1301, PUB-1301(NYC) and PUB-1313: "How to Complete"
publications
DSS-4060: "Declaration of Citizenship/Immigration Status"
C. Restates and updates requirements for declaration of
citizenship/immigration status for Public Assistance and Medical
Assistance originally outlined in 89 ADM-27 (now cancelled).
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