Permits & Applications

 

NEW YORK STATE

ROCKLAND COUNTY

   
MEDICAID FORMS (English) CHILD SUPPORT SERVICES
Medicaid Application
Medicaid Instructions
Medicaid Additional Instructions
Medicaid Document Checklist
Medicaid Fact Sheet
Medicaid Supplemental A
Application for Child Support Services

MEDICAL UNIT - CDPAP Program
Physician's Orders
CDPAP Application

   
MEDICAID FORMS (Spanish) NON-PARENT CAREGIVERS
Medicaid Instrucciones
Medicaid Applicacion
Documentos Necesarios Para Solicitar Seguro medico
Seguro Medico
Suplemento A
Information on Financial
Assistance & Programs
   
   
HEAP: HOME ENERGY ASSISTANCE PROGRAM  
NYS (HEAP) Website
HEAP Contact/Application Information
HEAP Application (English)
HEAP Application (Spanish)
 
11/08/11 - Home Heating Help Available To Residents  
   
   
TEMPORARY ASSISTANCE (English)  
DTA Application
DTA Application Instructions
 
   
TEMPORARY ASSISTANCE (Spanish)  
DTA Applicacion
DTA Applicacion Instrucciones
 
   
   
FOOD STAMPS  
Food Stamp Application