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ldss 3151

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LDSS-3151 Rev. 2/18 PAGE 1 NEW YORK STATE OFFICE OF TEMPORARY AND DISABILITY ASSISTANCE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM SNAP CHANGE REPORT FORM CASE NUMBER Please Print Clearly YOU MUST REPORT ANY CHANGES IN YOUR CIRCUMSTANCES ACCORDING TO THE RULES LISTED BELOW. DATE COMPLETE THIS FORM AND MAIL TO LOCAL DISTRICT NAME ADDRESS AND TELEPHONE NUMBER TO ADDRESS YOUR RESPONSIBILITY TO REPORT CHANGES Please read the questions and rules carefully. If you fail to report any changes that you...
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What is Form LDSS-3151?

Form LDSS-3151 is known as the Supplemental Nutrition Assistance Program Change Report Form. Individuals who want to apply for SNAP or change something in their program must file this form.

What is Form LDSS-3151 for?

You must submit this form for reporting all voluntary or required changes. This form may also be used for reporting cost changes of caring for disabled adults or children. The form also refers to the shelter cost changes, even if an applicant has not moved. Before increasing the benefits, all changes you report must be verified. During the transition period, the changes do not have to be reported.

When is Form LDSS-3151 Due?

Some changes must be reported once in a 6 months period. However, there are the situations when you must file this form within 10 days after the change took place.

Is Form LDSS-3151 Accompanied by Other Forms?

No, you do not have to prepare any other documents. This form may be filed separately without any other additional forms or applications.

What Information do I Include in Form LDSS-3151?

First of all you must indicate the case number, date and address of the local district office. After that you are offered to answer eight questions to define whether you are a change or simplified reporter. The form includes the rules and instructions. There are several sections in the form according to the type of the change you have made. They are the following: change in income, household, address, housing costs, rent, mortgage payment, number of cars or vehicles, savings, medical costs. At the end, sign the form and date it.

Where do I Send Form LDSS-3151?

The completed form must be sent to the New York State Office of Temporary and Disability Assistance.

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