Government Assistance Program Question Title * 1. Full name: Question Title * 2. Phone number: Question Title * 3. Do you have a NY state I’D ? ( non expired) Yes No Question Title * 4. Do you receive any of these government assistance below? (must be ACTIVE) Section 8 / Federal Public Housing Assistance (FPHA) Supplemental nutrition assistance program ( SNAP, EBT, Food stamps, Food assistance) Medicaid SSI (Supplemental Security Income) Veterans or Survivors pension Headstart (meeting income qualifying standars) Food distribution program or Indian Resevations Bureau of Indian Affairs General Assistance 135% Federal Poverty Guidelines TANF (Tribally Administrated Temporary Assistance for Needy Families) Other Question Title * 5. Do you have a Social Security Number? (If no, you do not qualify) Yes No Question Title * 6. Do you have an accesible Email address? Yes No Question Title * 7. You will receive a call within 24-48 hours from one of our agents specifying the proper documentation needed before coming into our agency. Once you qualify there’s is a one time processing fee of $10.01 Morning Afternoon Any time Ready