Forms & Links

Note: Some services require an in-person submission while others allow submission via mail, online, NYDocSubmit, etc. We ask before submitting to please review the how-to-apply section of the service you are applying or submitting a form for. Thank you. We hope you find this helpful.

To submit an application online, download and complete the original version of the form. Forms completed in the accessibility view may not submit correctly and could delay processing.

ABAWD (Able Bodied Adults Without Dependents) Forms
ABAWD Education and Training Participation Record
ABAWD-WIOA Job Search Activity Record
ABAWD Job Search Tool Kit
ABAWD Orientation PP Final
ABAWD-WIOA Supplemental Job Search Activity Record
ABAWD Unpaid-In-Kind Work Participation Record
ABAWD Volunteer-WE Participation Record
IM 900A Medical Statement for SNAP Employability
Re-Establish ABAWD Volunteer Record 6-26
Re-Establish ABAWD Information 6-26
Re-Establish ABAWD WIOA Job Search Activity Record 6-26

Child Support
Child Support Enrollment Form (Application)
Additional Child Information (Application) (If more than 2+ children)
Acknowledgment of Parentage

Client Release Waivers
Release Form-HIPAA Complaint
Release of Public Assistance Information

Child Care Assistance Program
Child Care Assistance Application/Recertification
How to Fill Out the Child Care Assistance Application
Child Support and Absent Parent Information Form
Child Care Provider Information and Hours of Care
Child Care Provider Information Guide
Employment Verification Form
Shelter Form
Permission to Release Information to Provider Form
Special Needs Application
Special Needs Application Information
TAP Regulation Agreement
TAP Verification of School Schedule

Fair Hearings
Online Request Form
Fair Hearing Information

Fraud
Fraud Referral Form

Home Energy Assistance Program (HEAP)
Online Application
MyBenefits
NYDocSubmit
HEAP Qualified Non-Citizen Requirements

Medicaid
Applications (DOH-4220)
Supplement A
NYStateOfHealth
Medicare Information

NYDocSubmit
General Information

Onondaga County Online Payments
DSS-ES Payments (SNAP, HEAP, TA, Medicaid, Daycare)
Environmental Health Payments
Property Tax Payments
Room Occupancy Tax Payment

Resource Recovery
Burial Assistance Application & Information
Burial Assistance Application Only

Supplemental Nutrition Assistance Program (SNAP)
Application/Recertification Form for SNAP Benefits \| Instructions
Request for Replacement of Food Purchased with SNAP Benefits
Shelter Verification Form
SNAP Authorized Representative Request Form
SNAP Change Report Form
SNAP/HEAP/TA Complaint Form
SNAP Programs
MyBenefits

State Supplemental Program (SSP)
Congregate Care Change Report Form
Designated Representative Form
Rights & Responsibilities of Designated Representatives
Direct Deposit Cancellation Form for SSP Recipients
Direct Deposit Enrollment Form for SSP Recipients
Income Verification Form
Living Arrangement Form

Temporary Assistance
Application \| TA Application Instructions
How to Use Your Benefit Card to Get SNAP and/or Cash Benefits
IRS W-9 Form
Landlord-Tenant Security Agreement
MyBenefits
Non-relative Care Givers Information
Pre-Inspection Form
Shelter Verification Form
TA Recertification Form \| TA Recertification Instructions

Temporary Assistance for Needy Families (TANF)
TANF Services Certification
Youth Application for TANF Services

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