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Dss forms ny, Rent Reasonableness Frequently Asked Questions (FAQ) DSS Rent Comparable Form Preclearance and Walkthrough Frequently Asked Questions for Provider Staff Frequently Asked Questions on Using a G704 as an Alternative to a Preclearance and Walkthrough Additional Documents for Tenants CityFHEPS Modification Request These are the official forms for use in Family Court proceedings. We hope you find this helpful. To view all the local Department of Social Services forms, please click on the appropriate link. Rensselaer, NY 12144-2834 Or call the Publications Hotline: 518-473-0971 The Consumer Directed Personal Assistance Program, or "CDPAP", is a New York State Medicaid program that allows Medicaid members who are eligible for home care services to choose and hire their own personal caregiver, or "personal assistant". For additional information regarding the types of formats available and how you can request an application in an alternative format, see the instruction book for this application Adult Care Facility Waiver Request/Equivalency Notification Form for Special Needs Assisted Living Residences (DOH-5257) (PDF) Affidavit (DOH-5773) (PDF) ALP Medical Evaluation DSS-4449C (PDF) Application for Renewal of Operating Certificate and Assisted Living Residence Biennial Fee (PDF) Assisted Living Program Interim Assessment DSS-4569 (PDF) Department of Social Services 311 Search all NYC. . NEW YORK STATE APPLICATION FOR CERTAIN BENEFITS AND SERVICES If you are blind or seriously visually impaired and need this application in an alternative format, you may request one from your social services district. The forms are arranged by type of case, for example: Programs that Help Low-income New Yorkers Make Ends Meet. Full Medicaid for Dual Eligibles (Individuals eligible for both Medicare and Medicaid) This program pays for a wide range of medical care, services and supplies as CityFHEPS pays part of eligible tenants monthly rent anywhere in New York State for up to five years. Forms & Links Note: Some services require an in-person submission while others allow submission via mail, online, NYDocSubmit, etc. We ask before submitting to please review the how-to-apply section of the service you are applying or submitting a form for. Medicare Savings Program 2025 The following programs administered by Local Departments of Social Services and the Human Resources Administration in New York City can assist individuals/couples in paying for their Medicare Premiums. Many others are provided for use by public agencies in juvenile delinquency, child protective and other cases. gov websites Home About HRA DHS Contact Hard Copies To order hard copies of available OCFS forms and publications, submit form OCFS-4627: Request for Forms and Publications to: OCFS Forms and Publications Unit 52 Washington Street Room 134 North Bldg. Thank you. The forms listed as "orders" are provided simply as samples (as they must be signed by a judge, judicial hearing officer, referee or support magistrate). Programs that Help Low-income New Yorkers Make Ends Meet. For a complete listing of Common Forms and Applications from the NYS Office of Temporary and Disability Assistance as well as the following state forms and applications in languages other than English,please click here. It is administered by the Department of Social Services (DSS), which includes both the Department of Homeless Services (DHS) and the Human Resources Administration (HRA). CityFHEPS can now support New Yorkers with housing across New York State. Access HRA forms and documents for public assistance, SNAP benefits, and other NYC programs. The New York State Office of Temporary and Disability Assistance supervises support programs for families and individuals.


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