New York City Department of Social Services Forms

The New York City Department of Social Services (DSS) is responsible for providing various social and support services to individuals and families in need within the city. The department aims to assist those who require help with housing, food, employment, healthcare, and other essential needs. DSS programs offer assistance to individuals experiencing homelessness or at risk of becoming homeless, as well as offering benefits and services to low-income individuals and families. The department also manages programs such as cash and food assistance, child support services, and domestic violence support. Overall, the New York City Department of Social Services aims to improve the well-being and quality of life for vulnerable residents in the city.

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Documents:

374

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This form is used for reporting income and expenses in New York City for the purpose of child support calculations.

This document is used for designating a payee for the Living in Communities (Linc) program in New York City. It requires notarization and is used to ensure that the correct person receives the program benefits.

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This is a document that is used in the state of New York to apply for personal home care and contains information regarding the patient's medical condition.

This form is used for verifying the residence and housing costs of a secondary tenant in New York City. It is used to provide proof of where the tenant lives and the expenses they incur for their housing.

This document is completed by a tenant and confirms that other tenants in the lease share New York City residence with them.

This form is used for requesting residence verification from the landlord or management agent in New York City.

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This form is used for authorizing the disclosure of individual health information in New York City. It is intended for use by individuals, business representatives, or consumer representatives.

This form is used for authorizing the release of case information in New York City.

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This form is used for requesting to pay rent arrears in New York City that exceed the maximum shelter allowance provided by cash assistance.

This document is a Spanish-language form used to request a reasonable accommodation in New York City.

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This type of document is used in New York City for authorizing the disclosure of personal medical information in accordance with the HIPAA regulations. It is written in Spanish.

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This form is used for residents of New York City who want to appeal a decision regarding a reasonable accommodation.

This document is a Spanish form used in New York City for filing an Appeal Petition for Reasonable Accommodation Decision.

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This Form is used for requesting medical or clinical information in New York City.

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This form is used for requesting a name and/or gender change in the Human Resources Administration (HRA) records in New York City.

This Form is used for applying to the Consumer Directed Personal Assistance Program in New York City.

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This form is used for ensuring website compliance with clearance requirements in New York City. It aids in conducting a checklist review to ensure that websites meet the necessary criteria for clearance.

This document is for participants of the Cityfheps Program in New York City. It outlines the agreement between the participant and the program.

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This document is for participants of the Cityfheps Program in New York City who speak Chinese (Simplified). It is an agreement form used to outline the terms and conditions of the program.

This document is used for the Cityfheps Program Participant Agreement in New York City, specifically for individuals who speak Haitian Creole. It outlines the terms and conditions of participation in the program.

This document is a participant agreement form for the Cityfheps Program in New York City. It is specifically for Korean speakers.

This document is a participant agreement form for the Cityfheps Program in New York City. It is written in Polish.

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