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It groups benefits into cash, childcare & education, employment & workers’ rights, food, health, housing, and related categories, listing specific program forms and online submission options for New York City and New York State. The sheet also directs users to English, Spanish, and Chinese applications with instructions, plus other-language and alternative-format availability, and points to Benefits Plus Online for benefit details.","Benefit Applications  \nThis reference sheet contains links to applications either an online application and/or  \na link to a paper application.  \nFor details on the benefit, refer to your Benefits Plus Online account.  \n\n| Cash Benefits |  |\n| --- | --- |\n| Cash Assistance LDSS 2921 | • Apply Online (NYC)\u003Cbr>• Apply Online (NYS)\u003Cbr>•  English Application-English Instructions\u003Cbr>•  Spanish Application-Spanish Instructions\u003Cbr>•  Chinese Application-Chinese Instructions\u003Cbr>•  Other Languages and Alternative Formats |\n| Child Support Services | •  Child Support Enrollment Form\u003Cbr>•  Other Languages (scroll to the bottom) |\n| Home Energy Assistance Program (HEAP) LDSS- 3421 | • Apply Online (NYC)\u003Cbr>• Apply Online (NYS)\u003Cbr>•  English Application\u003Cbr>•  Other Languages (scroll to the bottom) |\n| Supplemental Security Income (SSI) | •  File Online |\n| Social Security Disability Insurance (SSD) | •  File Online |\n| Social Security Retirement Insurance (RSI) | •  File Online |\n| VA Pension | •  File Online\u003Cbr>•  English Application |\n| Veteran’s Compensation | •  File Online\u003Cbr>•  English Application |\n\n\n| Child Care & Education |  |  |  |\n| --- | --- | --- | --- |\n| Cash Assistance Recipients | • Apply Online (NYC) |  |  |\n| Child Care in Lieu of Cash Assistance (CILOCA) | • Apply Online (NYC)\u003Cbr>•  English Application-English Instructions\u003Cbr>•  Other Languages and Alternative Formats |  |  |\n| ACS Subsidized Child Care (non-Cash Assistance recipients) | • Apply Online (NYC)\u003Cbr>• Application (other language also available) |  |  |\n| NYC Public School Programs\u003Cbr>• 3-K/Pre-K programs,(MySchools) | • Apply Online (NYC)\u003Cbr>•  English Application-English Instructions\u003Cbr>•  Other Languages |  |  |\n| NYC Public School Programs\u003Cbr>• Extended Day/Year & Infant and Toddler Programs (MyCity) | • Apply Online (NYC)\u003Cbr>•  English Application-English Instructions\u003Cbr>•  Other Languages |  |  |\n| Employment & Workers’ Rights |  |  |  |\n| NYC Older Adult Employment Program (55+) | •  Employment Interest Form |  |  |\n| Food Programs |  |  |  |\n| Supplemental Nutrition Assistance Program (SNAP) |  | • Apply Online (NYC)\u003Cbr>• Apply Online (NYS) |  |\n|  |  | Application for those age 60 and over, as well as those who are disabled.\u003Cbr>•  Supplemental Nutrition Assistance Program (SNAP) Benefits, LDSS-5166 |  |\n\n\n|  | All other SNAP applicants: (LDSS 4826)\u003Cbr>•  English Application\u003Cbr>o  English Instructions\u003Cbr>•  Spanish Application\u003Cbr>o  Spanish Instructions\u003Cbr>•  Chinese Application\u003Cbr>o  Chinese Instructions\u003Cbr>•  Other Languages\u003Cbr>• Alternative Formats |\n| --- | --- |\n| Supplemental Nutrition Assistance Program (SNAP)\u003Cbr>-Replacement of SNAP Benefits -LDSS-2291 | •  English/Spanish |\n| Women, Infants and Children (WIC) | •  English Application-Women\u003Cbr>•  English Application- Infants and Children |\n| Health Programs |  |\n| Child Health Plus | •  File Online |\n| Civilian Health and Medical Program\u003Cbr>of the Department of Veterans Affairs (CHAMPVA) | •  English Application |\n| Elderly Pharmaceutical Insurance\u003Cbr>Coverage Program (EPIC) | •  English Application\u003Cbr>•  Spanish Application\u003Cbr>•  File Online |\n| NYS Essential Plan | • Apply Online (NYS) |\n| Family Planning Benefit Program | •  English Application\u003Cbr>•  English Instructions |\n| HIV Uninsured Care Programs , ADAP, ADAP Plus, HIV Home Care Program (DOH-2794) | • Apply Online |\n| Medicaid-MAGI Population | •  File Online |\n| Medicaid-for Disabled, Aged, Blind,\u003Cbr>(DOH-4220 & Supplement A) | •  English Application/Instructions\u003Cbr>•  Spanish Application/Instructions\u003Cbr>Required with DOH 4220 Application\u003Cbr>•  Supplement A (DOH-5178A) -English |\n\n\n| Medicaid – Adult Disability Certification\u003Cbr>Adult Applicants 21-64, who need to be certified disabled by Medicaid.\u003Cbr>Forms must accompany the Medicaid application above (DOH-4220) . | •  DOH-5143-Medical Report for Determination of Disability (completed by each physician)\u003Cbr>•  DOH 5139-Disability Questionnaire (completed by the individual or a social","cbCainLILAig64hN","https://ap.wps.com/l/cbCainLILAig64hN","pdf",262529,4,6,"English","en",105,"# Cash Benefits\n## Child Care & Education\n## Employment & Workers’ Rights\n## Food Programs\n## Health Programs\n## Housing","[{\"question\":\"What does the Benefit Applications reference sheet provide?\",\"answer\":\"It provides links and references to application options for multiple benefits, including online applications and paper application links, organized by program 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