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PB Home  Back to OMM/OCFS/OTDA Materials: INFs Issued by OTDA    
Attached Document:
95_inf-08.pdf


OMM/OCFS/OTDA Materials: INFs Issued by OTDA

95 INF-8: Revision of Applications (DSS-2921 and DSS-2921 NYC), Recertification Forms (DSS-3174 and DSS-3174 NYC) and
Accompanying "How To Complete" Publications (Pub.
1301, 1301 NYC, 1313 and 1313 NYC) and Food Stamp
Application for SSI Recipients and Group Living
Residents (DSS-3035 and DSS-3035 NYC)

This is to introduce revisions to the following mandated forms and their
Spanish versions (copies of the English versions are attached):

DSS-2921: Upstate Application

DSS-2921 NYC: New York City Application

DSS-3174: Upstate Recertification Form

DSS-3174 NYC: New York City Recertification Form

Pub. 1301: "How To Complete"/Upstate Application

Pub. 1301 NYC: "How To Complete"/New York City Application

Pub. 1313: "How To Complete"/Upstate Recertification Form

Pub. 1313 NYC: "How To Complete"/New York City Recertification
Form

DSS-3035: Food Stamp Application For SSI Recipients And
Group Living Residents/Upstate Application

DSS-3035NYC: Food Stamp Application For SSI Recipients And
Group Living Residents/New York City Application

 

 

Created: 10/26/2004
Updated: 10/29/2004