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 |KoreanChinese | Haitian-Creole | Arabic

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

Home Energy Assistance Program (HEAP) 
Application form with instructions
English | Spanish | Russian | Korean | Chinese | Haitian-Creole | Arabic

Child Care

EarlyLearn Child Care
Application form
English

City ID Card

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

Applicant Document Guide

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

Online application
All languages

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

Online application
All languages

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
Online application
All languages

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

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 | Spanish | RussianKorean | Chinese | Haitian-Creole

Renewal Application Packet (Rent Stabilized)
English

Renewal Application Packet (Rent Controlled)
English

Renewal Application Packet (Rent Demand/Hotel Stabilized/SRO Rental Units)
English

Benefit Takeover Application
English

Disability Rent Increase Exemption (DRIE)
Initial Application Packet
English | Spanish | RussianKorean | Chinese | Haitian-Creole

Renewal Application Packet (Rent Stabilized)
English

Renewal Application Packet (Rent Controlled)
English

Renewal Application Packet (Rent Demand/Hotel Stabilized/SRO Rental Units)
English

Renewal Application Packet (Mitchell-Lama, HDFC Cooperative, Limited Dividend, Section 213 Cooperative, Redevelopment Apartments)
English

Benefit Takeover Application
English

Exemption Application for Owners (For DHE, SCHE, and Veterans’ Exemption)
Application form with instructions
English

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

於 更新 十二月 17, 2017