If you get more SNAP benefits than you should have (overpayment), you must pay them back. If your case is active, we will take back the amount of the
overpayment from future SNAP benefits that you get. If your case is closed, you may pay back the overpayment through any unused SNAP benefits remaining
in your account, or you may pay cash.
LDSS-4826 (Rev.8/12) Page 4
READ THE IMPORTANT INFORMATION BELOW (cont’d)
If you have an overpayment that is not paid back, it will be referred for collection in a number of ways, including automated collection by the federal government.
Federal benefits (such as Social Security) and tax refunds that you are entitled to receive may be taken to pay back the overpayment. The debt will also be
subject to processing charges.
Any expunged SNAP benefits will be put towards your overpayment. If you apply for SNAP again, and have not repaid the amount you owe, your SNAP benefits
will be reduced if you begin to get them again. You will be notified, at that time, of the amount of reduced benefits you will get.
CONSENT – I understand that by signing this application form I agree to any investigation made by the New York State Office of Temporary and Disability
Assistance or my local social services district to verify or confirm the information I have given or any other investigation made by them in connection with my
request for SNAP. If additional information is requested, I will provide it. I will also cooperate with State and Federal personnel in a SNAP Quality Control