Page 9

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

Appendix C – Page 9 Rev. 3/2022

they have 10 days from the notice date to request a fair hearing. Please note: the “effective date” of the determination and the “notice date” should be the same date.

The second checkbox (Part 2 - other than medical) is used in cases where the individual was found to be exempt from work requirements for reasons other than a personal medical limitation. Part 2 includes the effective date of the determination, the reason for the exemption, and that he or she may be required to provide additional evidence in the future to verify continued exemption status. It also notifies the individual that they have 60 days from the notice date to request a fair hearing. Please note: the “effective date” of the determination and the “notice date” should be the same date. Fair Hearing Rights

This section of the notice informs applicants and recipients of the right to request a Fair Hearing within 10 or 60 days of the notice date depending on which section is completed and includes instructions describing how to request a Fair Hearing.