Form LDSS-4942 Supplemental Nutrition Assistance Program (Snap) Authorized Representative Request Form - New York (Chinese)

Form LDSS-4942 Supplemental Nutrition Assistance Program (Snap) Authorized Representative Request Form - New York (Chinese)

This is a legal form that was released by the New York State Office of Temporary and Disability Assistance - a government authority operating within New York.

The document is provided in Chinese. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is LDSS-4942?A: LDSS-4942 is a form for the Supplemental Nutrition Assistance Program (SNAP) Authorized Representative Request in New York.

Q: What is the purpose of this form?A: This form is used to appoint an authorized representative to handle SNAP benefits on behalf of an applicant or recipient.

Q: Who can use this form?A: This form is for applicants or recipients of SNAP benefits in New York who wish to designate someone as their authorized representative.

Q: What is an authorized representative?A: An authorized representative is a person designated by an applicant or recipient to act on their behalf in SNAP matters.

Q: What information is required on the form?A: The form requires information about the applicant or recipient, as well as the authorized representative being appointed.

Q: Is this form available in languages other than Chinese?A: Yes, this form is available in multiple languages, including English.

Q: How should I submit the completed form?A: You should submit the completed form to the local LDSS office in person or by mail.

Q: Are there any fees associated with appointing an authorized representative?A: No, there are no fees associated with appointing an authorized representative for SNAP.

Q: Can I change or revoke the appointment of an authorized representative?A: Yes, you can change or revoke the appointment of an authorized representative at any time.

Q: Who should I contact if I have questions about this form?A: You can contact your local LDSS office or the New York State Office of Temporary and Disability Assistance (OTDA) for assistance with this form.

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Form Details:

  • Released on October 1, 2016;
  • The latest edition provided by the New York State Office of Temporary and Disability Assistance;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form LDSS-4942 by clicking the link below or browse more documents and templates provided by the New York State Office of Temporary and Disability Assistance.

Download Form LDSS-4942 Supplemental Nutrition Assistance Program (Snap) Authorized Representative Request Form - New York (Chinese)

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