Ocfs forms 4887-2026

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37 votes

The document is a General Information System (GIS) message from the New York State Office of Temporary and Disability Assistance, issued on December 19, 2012. It announces a correction to the LDSS-4887 form, which is used for mail-in recertification and eligibility questionnaires for Temporary Assistance (TA) and Supplemental Nutrition Assistance Program (SNAP). The correct version of the form is attached, and all previous versions must be destroyed. The document also provides information on how to order forms and contact details for inquiries.

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Click ‘Get Form’ to open the ocfs form 4887 in the editor.
Begin by filling out your personal information at the top of the form, including your name, case number, and contact details.
In Section 1, indicate whether you still need Temporary Assistance, SNAP, or Medical Assistance by checking 'Yes' or 'No' for each option.
For Section 2, report any changes in your household composition. If someone has moved in or out, provide their details as requested.
In Section 3, disclose any changes in income. For each source of income listed, check 'Yes' or 'No', and provide the amount if applicable.
Section 4 requires you to report any changes in rent costs or other significant life events. Be sure to attach necessary documentation for verification.
Finally, review all sections for accuracy and completeness before signing and dating the form at the bottom.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (172 Votes)
2012	4 Satisfied (37 Votes)
2006	3.8 Satisfied (34 Votes)

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