Applications & Forms
Last Updated August 5, 2022
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
Instructions for Recertification (Form 3113)
English | Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic | Bengali
Recertification (Form 3174)
English | Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic | Bengali
Cash Assistance Mail-in Recertification / Eligibility Questionnaire (Form M-327H)
English | Spanish | Russian | Korean | Chinese | Haitian-Creole | French | Arabic | Bengali | Polish | Urdu
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
Family Services
Child Support Services
Application form with instructions
English
Other Child Support forms (for Custodial and Noncustodial Parents)
Family Planning Benefit Program (FPBP)
Application form with instructions
English | Spanish
Food
Pre-K for All (Pre-K)
Pre-K Finder
Online Application
Health
Work
Supplemental Nutrition Assistance Program (SNAP)
Application and recertification forms with instructions
English | Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic
SNAP Periodic Report
English | Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic | Bangla
The SNAP Periodic Report Form asks SNAP recipients to inform HRA of any changes to their case. The report is due every six months after you start receiving or renew your benefits. If you do not submit it within six months, HRA will close your case.
Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)
Medical Referral Form
English
School Food
Applications are no longer needed. Family income inquiry form is available to help schools receive funding.
Online Form
Housing
Senior Citizens Rent Increase Exemption (SCRIE)
Initial Application Packet
English| Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic | Bangla | French | Polish | Urdu
Renewal Universal Application Packet
English| Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic | Bangla | French | Polish | Urdu
Short Form Renewal Application for longtime Rent Freeze program participants
English
Benefit Takeover Application
English
Disability Rent Increase Exemption (DRIE)
Initial Application Packet
English| Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic | Bangla | French | Polish | Urdu
Renewal Universal Application Packet
English
Short Form Renewal Application for longtime Rent Freeze program participants
English
Benefit Takeover Application
English
Disabled Homeowners Exemption (DHE)
DHE Exemption Online Application
Initial Application form with instructions
English| Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic | Bangla | French | Polish | Urdu
Senior Citizen Homeowners’ Exemption (SCHE)
SCHE Exemption Online Application
Initial Application form with instructions
English| Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic | Bangla | French | Polish| Urdu
Veterans’ Property Tax Exemption
English
School Tax Relief Program (STAR)
Online Application
STAR to ESTAR application form
STAR Benefit Restoration application form
Online Application
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
Explore Job Openings
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