Congregate Care Change Report Form ... III. Nature of Placement, Transfer or Other Change ... LDSS-5023 (Rev. 2/15) IV. Custody NYS Office of Temporary & Disability Assistance Congregate Care Change Report Form

Unearned income has changed to: $ /mo. effective: effective: .. . LDSS-5023 (Rev. 9/14) NYS Office of Temporary & Disability Assistance

All forms are FREE. Not all forms are listed. If you can't find the form you need, or you need help completing a form, please call us at 1-800-772-1213 (TTY 1-800-325-0778) or contact your local Social Security office and we will help you.

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Mar 2, 2015 · A resident who receives only SSP benefits can use the LDSS-5023 to designate where the SSP benefits are to be deposited. A separate Direct Deposit form (LDSS-5025) is not required.

You can use your account to request a replacement Social Security card, check the status of an application, estimate future benefits, or manage the benefits you already receive. Many of our notices are now available online.

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SOCIAL SECURITY ADMINISTRATIONSPECIAL DETERMINATION

Jan 30, 2025 · The Social Security Benefit Statement is also known as the SSA-1099 or the SSA-1042S. It is a tax form we mail to you every January if you receive Social Security benefits. It shows the total amount of benefits you received in the previous year, so you know how much Social Security income to report to the IRS on your tax return.

A DSS 5023 must be completed for each SA beneficiary. When assisting an individual who has decided to allow their payment to go into a collective account, DO NOT ENTER AN ALTERNATE PAYEE.