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Applications & Forms

Last Updated April 17, 2025

Click on the links below to view and then print the forms.

NOTE: Some of the application(s) require additional information. Please review and complete the application(s) before submitting to an Agency.

Cash & Expenses

Cash Assistance
Instructions (Form 1301)
English | Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic | Bengali

Application Form (LDSS 2921)
English | Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic | Bengali

Child Tax Credit (CTC)
Form 1040 English

Form 1040NR
English 

Child and Dependent Care Tax Credit

Form 2441
English

Form 1040
English

Form 1040NR
English 

Earned Income Tax Credit (EITC)
Schedule EIC
English 

Form IT-215
English 

Worksheet C in the Instructions Form for IT-215
English 

Food

Supplemental Nutrition Assistance Program (SNAP)
Application and recertification forms with instructions
English | Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic

Online Application

Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)
Medical Referral Form
English

Last Updated April 17, 2025

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