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

Appendix C – Page 7 Rev. 3/2022

Instructions for Completion

Notice Date - The date the worker completes and mails the notice. The date must be at least ten days before the effective date of the action. Effective Date - The date the action or change will occur. Fair hearing regulations require that notice be given as to when an action will take effect. The effective date is used to determine if aid continuing can be given until the fair hearing decision is issued. In order for an appellant to have the right to aid continuing, the fair hearing must be requested by the effective date. The top portion consists of identifying information which is self- explanatory. Public Assistance Section The first check box (“REDUCE”) should be used when an individual is sanctioned but the case stays open for remaining household members. The sanction period is non-durational and until compliance. District staff must fill in the current grant amount, the grant amount after the sanction is imposed, the date the sanction will take effect, and the name of the sanctioned individual. The second check box (“DISCONTINUE”) applies to a case closing. The date of the case closing must be entered. The reason section must be completed with the sanctioned individual’s name, the date of the infraction and a description of the infraction. The Response to Re-Engagement/Conciliation section indicates the client’s response to re- engagement/conciliation. The worker must select one checkbox indicating that the sanctioned individual did not respond within the required timeframes, the sanctioned individual agreed to come to a meeting, or the sanctioned individual answered the re-engagement/conciliation letter and gave reasons for the noncompliance. In the paragraph that follows the response section the district must identify the number of times the individual has previously been sanctioned for failure to comply with TA employment requirements. Additionally, the district must identify the date by which the individual can avoid the TA sanction by demonstrating compliance with employment requirements or documenting that they are exempt from work requirements. The date identified in this section should be the same as the effective date of the sanction. Fair Hearing Rights

This section of the notice informs individuals of the right to request a Fair Hearing within 60 days of the notice date for Public Assistance and 90 days from the notice date for SNAP benefits and includes instructions describing how to request a Fair Hearing.