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

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

What Is Form LDSS-4942 DD?

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. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the LDSS-4942 DD form?A: The LDSS-4942 DD form is a Supplemental Nutrition Assistance Program (SNAP) Authorized Representative Request Form.

Q: What is the purpose of the LDSS-4942 DD form?A: The purpose of the LDSS-4942 DD form is to request authorization for an individual to act as a representative for a SNAP applicant or recipient in New York.

Q: What is SNAP?A: SNAP, also known as the Supplemental Nutrition Assistance Program, is a federal assistance program that provides eligible low-income individuals and families with funds to purchase food.

Q: Who can submit the LDSS-4942 DD form?A: The LDSS-4942 DD form can be submitted by the SNAP applicant or recipient, or by an authorized representative acting on their behalf.

Q: What information is required on the LDSS-4942 DD form?A: The LDSS-4942 DD form requires the applicant or recipient's personal information, as well as the representative's contact information and their relationship to the applicant or recipient.

Q: Is there a deadline for submitting the LDSS-4942 DD form?A: There is no specific deadline for submitting the LDSS-4942 DD form, but it is recommended to submit it as soon as possible once a representative is needed.

Q: Can multiple representatives be authorized on the LDSS-4942 DD form?A: Yes, the LDSS-4942 DD form allows for the appointment of multiple authorized representatives.

Q: What happens after the LDSS-4942 DD form is submitted?A: After the LDSS-4942 DD form is submitted, it will be reviewed by the local Department of Social Services, and if approved, the authorized representative will be able to act on behalf of the SNAP applicant or recipient.

Q: Is the LDSS-4942 DD form specific to New York?A: Yes, the LDSS-4942 DD form is specific to New York and should be used for SNAP applications or recipients in the state.

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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;
  • Fill out the form in our online filing application.

Download a fillable version of Form LDSS-4942 DD 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 DD Supplemental Nutrition Assistance Program (Snap) Authorized Representative Request Form - New York

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