revision-of-notice-of-recertification-appointment-form-w-908t

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How do I fill this out?

To fill out this form, you need to provide detailed information about your household and any changes in your situation. Make sure to gather all required documents such as proof of income, expenses, and any changes in your living situation. Follow the instructions provided in the document to ensure a smooth recertification process.

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How to fill out the Revision of Notice of Recertification Appointment Form W-908T?

  1. 1

    Provide detailed information about your household.

  2. 2

    Gather all required documents such as proof of income.

  3. 3

    Include proof of expenses and any changes in your living situation.

  4. 4

    Follow the instructions provided in the form.

  5. 5

    Submit the form as instructed.

Who needs the Revision of Notice of Recertification Appointment Form W-908T?

  1. 1

    Individuals receiving Public Assistance need this form to continue their benefits.

  2. 2

    Households applying for Medical Assistance need to complete this form.

  3. 3

    Participants in the Food Stamp program must fill out this form for recertification.

  4. 4

    Households with changes in income or household size need to submit this form.

  5. 5

    Individuals in non-POS Centers must use this form for recertification interviews.

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What are the instructions for submitting this form?

Submit the completed form through the appropriate channels as specified in your recertification notice. You may need to send the form via mail to the address provided, fax it to the specified fax number, or submit it online through the given submission portal. Ensure you follow the instructions carefully to avoid any delays or issues with your recertification process. Advice: Double-check all the information and documents before submission to ensure everything is accurate and complete.

What are the important dates for this form in 2024 and 2025?

The important dates for this form in 2024 and 2025 can vary depending on the specific requirements of your recertification process. Ensure you check the exact dates provided in your recertification notice and adhere to the deadlines for submission.

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What is the purpose of this form?

The purpose of the Notice of Recertification Appointment (W-908T) is to inform participants of the requirements and schedule for their recertification interview. This form ensures that individuals and households receiving Public Assistance, Medical Assistance, and Food Stamps provide updated information and documentation regarding their current situation. By completing this form, participants help the administration determine their continued eligibility for benefits and maintain the accuracy of their records.

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Tell me about this form and its components and fields line-by-line.

This form contains various fields that require detailed information from the participant.
fields
  • 1. Date: The date of the recertification appointment.
  • 2. Case Number: The unique identification number for the participant's case.
  • 3. Case Name: The name associated with the case.
  • 4. Caseload: The specific caseload assigned to the participant.
  • 5. Worker Name: The name of the worker handling the case.
  • 6. Worker Phone: The contact phone number of the worker.
  • 7. FH&C Phone: The phone number for Family Health and Concerns.
  • 8. Interview Date and Time: The scheduled date and time for the recertification interview.
  • 9. Proof to Bring: A checklist of documents required for the interview.
  • 10. Signature: The participant's signature to confirm acknowledgment of the information.

What happens if I fail to submit this form?

If you fail to submit this form, your benefits may be discontinued or closed. It is important to complete and submit the form to avoid any interruption in your assistance.

  • Public Assistance: Your public assistance case may be closed, and you will receive a notice informing you of the closure date.
  • Medical Assistance: You may not receive continued Medical Assistance benefits and must report any changes to the department.
  • Food Stamps: Your Food Stamp benefits will not be continued unless you complete the recertification process.

How do I know when to use this form?

You should use this form when you are due for recertification for Public Assistance, Medical Assistance, or Food Stamps. It ensures that the administration has updated information about your household and any changes in your situation.
fields
  • 1. Recertification for Public Assistance: Use this form to provide updated information for your public assistance benefits.
  • 2. Recertification for Medical Assistance: Complete this form to continue receiving medical assistance.
  • 3. Recertification for Food Stamps: Fill out this form to ensure uninterrupted food stamp benefits.
  • 4. Changes in Income: Use this form to report any changes in your household's income.
  • 5. Changes in Household Size: Provide information on any changes in the size of your household.

Frequently Asked Question

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Yes, you can use our signature tool to sign the PDF and save the signed version.

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What information do I need to provide in this form?

You need to provide detailed information about your household and any changes in your situation, as well as required documents such as proof of income and expenses.

Can I fill out the form online?

Yes, you can fill out the form online using PrintFriendly's PDF editor.

What should I do if I miss my recertification interview?

If you miss your recertification interview, call as soon as possible to reschedule the appointment.

What proof do I need to bring to the interview?

You need to bring proof of income, expenses, household size, and any other relevant information as specified in the form.

How do I know if I need to complete this form?

You need to complete this form if you receive Public Assistance, Medical Assistance, or Food Stamps and are due for recertification.

What happens if I do not submit this form?

Failure to submit this form may result in the closure of your assistance case and discontinuation of benefits.

How can I obtain more information about this procedure?

You can call 718-557-1313 and press 2 at the prompt followed by 765, or send an email to the FIA Call Center for more information.

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Revision of Notice of Recertification Appointment Form W-908T

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