LDSS-3151 PDF Details

You may answer these questions to find out whether you are a “Simplified Reporter” or a “Change Reporter”.

Change Reporting: you must report changes in any source of income for anyone in your household within 10 days after the end of the month in which the change happened.

Simplified Reporting: you are only required to report changes at the time of your next recertification, except for three situations.

130% income: if your household's gross monthly income exceeds 130% of the poverty level, you must report within 10 days after the end of the calendar month.

On-line: if for some reason you can't mail, fax or bring in this form, you can also report the changes on-line through myBenefits.ny.gov.

Sign: be sure to read and sign page 6.

QuestionAnswer
Form NameLDSS-3151
Form Length6 pages
Fillable?Yes
Fillable fields175
Avg. time to fill out30 min
Edition04/25
Issuing agencyNew York State Office of Temporary and Disability Assistance
Other namesLDSS-3151, LDSS 3151, LDSS3151, SNAP Change Report Form, Supplemental Nutrition Assistance Program Change Report Form
Official sourceLDSS-3151 (Rev 04/25), New York State Office of Temporary and Disability Assistance