Saturday, August 18, 2018 Scheduled eFax Maintenance

Due to scheduled maintenance to fax servers between 7:00 am and 8:30 am, you may experience a busy signal when attempting to fax to the Office of Administrative Hearings.

Last updated: August 17, 2018 at 4:30 PM


OTDA Home Programs 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.

Supplemental Nutrition Assistance Program (SNAP) Benefits

SCAM Alert

Scammers offer phony SNAP application assistance

Home Energy Assistance Program (HEAP)

The HEAP application is available when HEAP is open.

State Supplement Program (SSP)

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.

This page contains links to PDF documents. Download Acrobat Reader to view these documents.

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