Forms

OTDA Home Programs Forms

Forms

If you are blind or visually impaired many of OTDA’s forms are available in alternative format.

Application for Certain Benefits and Services

Common application for Public Assistance, Child Care in Lieu of Public Assistance, the Supplemental Nutrition Assistance Program (SNAP), Medicaid and SNAP, Medicaid and Public Assistance, Services included Foster Care, Child Care Assistance, and Emergency Assistance only

Recertification Form for Certain Benefits and Services

Recertification form for Public Assistance, Supplemental Nutrition Assistance Program (SNAP), Medicaid and SNAP, and Medicaid and Public Assistance

State Supplement Program (SSP)

Home Energy Assistance Program (HEAP)

Supplemental Nutrition Assistance Program (SNAP) Benefits

SCAM Alert

Scammers offer phony SNAP application assistance

Child Support Services

Temporary Assistance for Needy Families (TANF)

Application Booklets

Information on your rights and responsibilities, and the services and programs available to you.

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