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NYS Office of Temporary and Disability Assistance- TA and SNAP Employment Policy Manual

Appendix C – Page 14 Rev. 3/2022

The second chart should include the names of each household member who is subject to Mandatory SNAP E&T. Districts must retain copies of all LDSS-5193A notices provided to the household and must also document the case record through case notes/comments when the comprehensive oral explanation pertaining to SNAP work requirements occurs.

LDSS-5127- Able-Bodied Adults Without Dependents (ABAWD) Work Activity Letter For copies of LDSS-5127, please use the following links: English Version LDSS-5127 - http://otda.state.nyenet/ldss_eforms/eforms/5127.pdf Spanish Version LDSS-5127SP - http://otda.state.nyenet/ldss_eforms/eforms/5127-SP.pdf

Districts that do not have a full county ABAWD waiver must provide the LDSS-5127 Able- Bodied Adults Without Dependent (ABAWD) Work Activity Letter (or locally developed equivalent approved by OTDA) to each ABAWD individual subject to the ABAWD requirements, who resides in a SNAP applicant or recipient household to offer the ABAWD the opportunity to meet with a district staff member or contracted employment vendor for assistance in obtaining a qualifying work activity assignment so that the ABAWD might continue to retain eligibility for SNAP benefits beyond the three-month federal time limit. The LDSS-5127 Able-Bodied Adults Without Dependents (ABAWD) Work Activity Letter provides the ABAWD with an appointment with the district to receive the offer of enrollment in a qualifying ABAWD work activity assignment. Districts may provide the ABAWD qualifying work activity or training opportunity through a SNAP Employment and Training (E&T) program such as SNAP Venture, or other local work, educational, or training program for which the individual is eligible that will meet the ABAWD requirement. A copy of the completed LDSS-5127 Able- Bodied Adults Without Dependents (ABAWD) Work Activity Letter must be retained in the case record, along with an entry in case record notes, to document that the district offered the ABAWD the opportunity to meet with the district for assignment to an ABAWD qualifying work activity. The ABAWD’s compliance with the work activity appointment is not mandatory as a matter of eligibility, and failure to appear will not result in the offer of conciliation or imposition of a SNAP sanction. The appointment for the offer of engagement in an ABAWD qualifying work activity is separate and apart from any other mandatory work activity appointments or assignments given as part of the individual’s Temporary Assistance (TA) work assignment or SNAP E&T work assignment.

The LDSS-5127 Able-Bodied Adults Without Dependents (ABAWD) Work Activity Letter does not replace the LDSS-5072 Informational Letter Regarding Able-Bodied Adults Without Dependents (ABAWD) Requirements. Districts are strongly encouraged to continue to issue the LDSS-5072 in addition to the mandatory LDSS-5127 to reinforce ABAWD requirements and the offer of assistance with meeting the requirements.