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NYC Benefits Screening
NYC Screening Form
Enter household information to check program eligibility.
Household Information
Cash on Hand
Living Rental Type
Prefer not to say
Renting
Owner
Staying with Friend
Hotel
Shelter
Personal Information
Age
Household Member Type
Head of Household
Spouse
Child
Other
Unemployed
Student
Student Fulltime
Pregnant
Blind
Disabled
Veteran
Unemployed Worked Last18 Months
Benefits Medicaid
Benefits Medicaid Disability
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