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Applications & Forms

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
English | Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic

Application form
English | Spanish | Russian Korean | Chinese | Haitian-Creole | Arabic

Child Tax Credit (CTC)
Form 1040
English

Form 1040A
English

Form 1040NR
English 

Child and Dependent Care Tax Credit

Form 2441
English

Form 1040
English

Form 1040A
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 

Child Care

EarlyLearn Child Care
Application form
English | Spanish

Cover page
English

Instructions (CFWB-012A)
English

Submission Checklist (CFWB-012B)
English

Voter Registration Form
English

City ID Card

IDNYC
Application form with instructions for 10-13 year olds
English

Application form with instructions for 14 years and older
EnglishSpanish | RussianKorean | Chinese | Haitian-Creole |
FrenchArabic | Bengali | Polish | Urdu

Applicant Document Guide
English | Spanish | RussianKorean | Chinese | Haitian-Creole |
FrenchArabic | Bengali | Polish | Urdu

Online application
All languages

Education

Pre-K for All (Pre-K)
Pre-K Finder 
Online Application

Family Services

Family Planning Benefit Program (FPBP)
Application form with instructions
English | Spanish

Food

Supplemental Nutrition Assistance Program (SNAP)
Application form with recertification
English | Spanish | RussianKorean | Chinese | Haitian-Creole | Arabic

Online Application

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

Medical Referral Form for Pregnant/Breastfeeding/Postpartum Women
English 

School Food
Applications are no longer needed. Family income inquiry form is available to help schools receive funding.
Online Form

Health

NYC Nurse-Family Partnership
Referral form with instructions
English

Public Health Insurance
Application form with instructions
NOTE: This application is not for those seeking long-term care coverage.
English | Spanish | Russian | Korean | Chinese | Haitian-Creole

Online Application

Supplement A
NOTE: This supplement is also required for anyone applying who is age 65 or older, blind or disabled, or seeking long-term care care
English | Spanish | Russian | Korean | Chinese | Haitian-Creole

Housing

Senior Citizens Rent Increase Exemption (​SCRIE)
Initial Application Packet
English 

Renewal Universal Application Packet
English

Large Print Renewal Universal Application Packet
English

Short Form Renewal Application for longtime Rent Freeze program participants
English

Benefit Takeover Application
English

Disability Rent Increase Exemption (DRIE)
Initial Application Packet
English

Renewal Universal Application Packet
English

Large Print Renewal Universal Application Packet
English

Short Form Renewal Application for longtime Rent Freeze program participants
English

Benefit Takeover Application
English

Disabled Homeowners Exemption (DHE)
Application form with instructions
English | Spanish | RussianKorean | ChineseHaitian-Creole |
FrenchArabic | Bengali | Polish | Urdu

Senior Citizen Homeowners’ Exemption (SCHE)
English | Spanish | RussianKorean | Chinese | Haitian-Creole |
French | Arabic | Bengali | Polish | Urdu

Veterans’ Property Tax Exemption
English

School Tax Relief Program (STAR)
Online Application

Work

Summer Youth Employment Program (SYEP)
Online application

NYCHA Resident Economic Empowerment and Sustainability (REES)
Customer Information Form
English

Senior Employment Services (SES)
English

NYS Unemployment Insurance
Online application

Workforce1
Customer Information Form
English
Online Application

تم الحديث في سبتمبر 21, 2018