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NYS Office of Temporary and Disability Assistance- TA and SNAP Employment Policy Manual Section 385.3 - Page 10 Rev. 4/2025 ➢ For households that receive the LDSS-5193, the General SNAP Work Rules, Mandatory SNAP E&T, and ABAWD Rules; ➢ For households that receive the LDSS-5193A, the General SNAP Work Rules and Mandatory SNAP E&T. • Which household members are subject to each different category of work requirements; • Exemptions, and how to request an exemption from the work requirement; • Rights and responsibilities related to each applicable work requirement and what is required to maintain eligibility; • Pertinent dates by which an individual must take any actions to remain in compliance; • Consequences for failure to comply; • An explanation of good cause including examples of good cause reasons and how to request good cause; • The district’s responsibility to pay or reimburse participants, including volunteers for the necessary and reasonable costs associated with participation in a SNAP E & T activity (i.e., transportation, childcare, personal safety items, other); and, • USDA contact information and instructions for filing a program discrimination complaint. Before providing the appropriate notice to SNAP households, districts are instructed to complete the first page of the notice including: Date, Case Number, and District Contact Number. In the applicable work requirements sections, districts should list all members of the household who are subject to each of the different types of requirements. In districts that do not mandate SNAP E&T for their NTA/SNAP population, a non-exempt adult in an NTA/SNAP household would be listed in the General SNAP Work Rules section but would not be listed in the Mandatory SNAP E&T section. During periods of a statewide ABAWD waiver districts should use the LDSS- 5193A which does not explain the ABAWD requirements as during that time ABAWDs residing in all areas of New York State are not subject to the ABAWD requirements. Additionally, the LDSS-5193 Important Information about SNAP Work Rules (General, Mandatory E&T, and ABAWD), which includes all relevant information about the ABAWD work rules, replaced the LDSS-5072 Informational Letter Regarding Able-Bodied Adults Without Dependents (ABAWD) Requirements. Districts must no longer use the LDSS-5072 which became obsolete with the implementation of the LDSS-5193. Districts must retain copies of all LDSS-5193 and LDSS-5193A notices provided to the household in the case record. Districts must also document the case record through case notes/comments, in a timely manner, when the comprehensive oral explanations pertaining to SNAP work requirements occur at certification, recertification, and at any time an exempt household member or new household member becomes subject to work requirements. These notices and related instructions are contained in Appendix C of this manual.