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Eligibility Determination Notice

January 20, 2026 Reference #NOT-2026-005678

Key Details

Program
Supplemental Nutrition Assistance Program (SNAP)
Benefit Amount
$352.00 per month
Effective Date
February 1, 2026
Review Date
July 31, 2026

NEW YORK STATE OFFICE OF TEMPORARY AND DISABILITY ASSISTANCE

NOTICE OF ELIGIBILITY DETERMINATION

Date: January 20, 2026
Case Number: CASE-2026-001234
Notice Reference: NOT-2026-005678

Dear Applicant,

This notice is to inform you that your application for the Supplemental Nutrition Assistance Program (SNAP), received on January 10, 2026, has been reviewed and a determination has been made regarding your eligibility.

DETERMINATION: Based on the information provided in your application, verification documents, and applicable federal and state regulations (7 CFR 273 and 18 NYCRR 387), you have been found ELIGIBLE for SNAP benefits.

BENEFIT DETAILS:

  • Monthly Benefit Amount: $352.00
  • Household Size: 2
  • Net Monthly Income: $1,245.00
  • Certification Period: February 1, 2026 through July 31, 2026

Your benefits will be issued to your Electronic Benefits Transfer (EBT) card on the first business day of each month. If you do not have an EBT card, one will be mailed to your address on file within 5-7 business days.

YOUR RESPONSIBILITIES: You must report any changes in your household income, household size, or address within 10 days of the change. Failure to report changes may result in an overpayment or underpayment of benefits, and may require repayment.

RIGHT TO APPEAL: If you disagree with this determination, you have the right to request a fair hearing within 60 days of the date of this notice. To request a hearing, contact the Office of Administrative Hearings at (518) 555-0199 or submit a written request to: NYS Office of Administrative Hearings, PO Box 12345, Albany, NY 12201.

RECERTIFICATION: Your benefits will be reviewed before the end of your certification period. You will receive a recertification notice approximately 30 days before your review date. Failure to complete recertification may result in the termination of your benefits.

Sincerely,
NYS Office of Temporary and Disability Assistance
Benefits Processing Division

Questions?

If you have questions about this notice or your benefits, contact us using the information below.

Phone

(518) 555-0100

Email

benefits@example.ny.gov

Office Hours

Monday – Friday, 8:00 AM – 5:00 PM ET

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