Welcome to the official website of Jefferson County New York

Booklets and Forms

Application Booklets
Below is a list of three booklets with a summary of their contents. They are offered in several languages, and you may either read them online or print them out. They are available here: http://www.otda.ny.gov/programs/applications/ under “Application Booklets”.

  •  What You Should Know About Your Rights and Responsibilities (LDSS-4148A) This booklet tells you about your rights and responsibilities when applying for and receiving benefits.

  •  What You Should Know About Social Services Programs (LDSS- 4148B) This booklet gives information about different programs – such as Temporary Assistance and Food Stamps, as well as Medical Assistance. It also provides information on other services including child care, foster care, child welfare, adoptions and other programs. 

  • What You Should Know If You Have an Emergency (LDSS-4148C) This booklet tells you what to do in case of an emergency – such as a need for food, help with housing expenses and/or a need for medical attention.


Landlord Booklets and Forms
Landlord Information

Landlord Forms

Request for Taxpayer Identification Number and Certification