Please rate Snap Application Form Rev. 12-23
You can file an application the same day you receive it.
Interview: you must complete the application process, including having an interview and signing the certification statement on page 7.
Recertification: you must submit the signed recertification application before the interview.
SNAP interviews: are usually done over the telephone. If you prefer an in-office interview, you must request one from your social services district.
Apply: if you live outside of New York City, you can apply on-line at myBenefits.ny.gov, or call or visit the social services district in the county where you live.
| Question | Answer |
|---|---|
| Form Name | LDSS-4826 |
| Form Length | 12 pages |
| Fillable? | Yes |
| Fillable fields | 447 |
| Avg. time to fill out | 60+ min |
| Edition | Rev 12/23 |
| Issuing agency | New York State Office of Temporary and Disability Assistance |
| Other names | LDSS-4826, LDSS 4826, LDSS4826, SNAP application, SNAP application PDF, SNAP recertification, New York SNAP application |
| Official source | LDSS-4826 (Rev 12/23), New York State Office of Temporary and Disability Assistance |
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Please rate Snap Application Form Rev. 12-23