How to Apply
You may apply for Temporary Assistance by:
- Applying in person or dropping off a completed application
- Applying online at mybenefits.ny.gov
- Mailing a completed application to: PO Box 637 Wampsville, NY 13163
- Faxing a completed application to (315) 366-3058
Application link
LDSS-2921 Statewide Application
Required Documentation
You will be required to provide supporting documentation. This documentation may include the following:
- Proof of all household income and resources - wage verification, bank statements, vehicles
- Proof of household expenses - utility bills, rent or mortgage,
- Proof of Identification - birth certificate, driver’s license, Social Security card
- Proof of residency - landlord statement, lease, rent receipt
Additional Requirements for Eligibility
- During the interview you will be asked to complete a voluntary "Domestic Violence Screening Form." This format provides the options to seek additional assistance if you are experiencing any form of domestic violence.
