Applications & Forms
Last Updated Четверг, 21 января, 10:46дп
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 | Bengali
Application form
English | Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic | Bengali
Instructions for Recertification Form 3174
English | Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic | Bengali
Recertification Form 3174
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
Cooling Assistance Benefit
Application form
English
Earned Income Tax Credit (EITC)
Schedule EIC
English
Form IT-215
English
Worksheet C in the Instructions Form for IT-215
English
Home Energy Assistance Program (HEAP)
English | Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic | Bengali
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
English| Spanish | Russian | Korean | Chinese | Haitian-Creole |
French | Arabic | Bengali | Polish | Urdu
Applicant Document Guide
English | Spanish | Russian | Korean | Chinese | Haitian-Creole |
French | Arabic | Bengali | Polish | Urdu
Online application
All languages
Education
Pre-K for All (Pre-K)
Pre-K Finder
Online Application
Family Services
Child Support Services
Application form with instructions
English | Spanish | Russian| Korean | Chinese | Haitian-Creole | Arabic | Bangla
Other Child Support forms (for Custodial and Noncustodial Parents)
Family Planning Benefit Program (FPBP)
Application form with instructions
English | Spanish
Food
Supplemental Nutrition Assistance Program (SNAP)
Application form with recertification
English | Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic
Application Instructions
English | Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic
SNAP Periodic Report
English | Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic
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
Health
NYC Nurse-Family Partnership
If you’re a service provider, you can learn more on the NYC Health website, and you can refer eligible patients/clients by filling out our referral form and faxing it to 347-396-4360 or emailing it to nycnfp@health.nyc.gov .
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
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
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
Short Form Renewal Application for longtime Rent Freeze program participants
English
Benefit Takeover Application
English
Disabled Homeowners Exemption (DHE)
DHE Exemption Online Application
Application form with instructions
English| Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic | Bangla | French | Polish | Urdu
DHE Renewal Online Application
Renewal Application
English| Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic | Bangla | French | Polish | Urdu
Senior Citizen Homeowners’ Exemption (SCHE)
SCHE Exemption Online Application
Application form with instructions
English| Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic | Bangla | French | Polish | Urdu
SCHE Renewal Online Application
Renewal Application
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
English| Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic | Bangla | French | Polish | Urdu
STAR Benefit Restoration application form
Online Application
English| Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic | Bangla | French | Polish | Urdu
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