Form M-40k LLF

Rev. 6/18/14

064 DeKalb Job Center

Date: 02/02/2021
275 Bergen St, 1st Fl
Case Number: 00038287680D

Brooklyn NY 11217-0000 Case Name: HOOMAN ROBERT

ROBERT HOOMAN

63 PEARL ST 124

BROOKLYN NY 11201-1147

Notice of Denial of Expedited Supplemental Nutrition Assistance Program (SNAP)

or Inability to Issue Supplemental Nutrition Assistance Program Benefits

The Agency's decision(s) regarding your application(s) is/are explained below next to the checked (þ) box(es).
We have determined your household is not eligible for Expedited Supplemental Nutrition Assistance
b
c
d
e
f
g
Program service because:
b You do not meet any of the following criteria for Expedited Supplemental Nutrition Assistance Program service:
c
d
e
f
g
Š Your household's total income for the month must be less than $150 and total liquid resources must not
exceed $100; or
Š Your household's total expenses must be more than your total income and liquid resources; or
Š You are a destitute migrant or seasonal farm worker with no more than $100 in liquid resources.

c
d
e
f
g You failed to comply with an initial eligibility interview within seven days after filing of application.

Although you do not qualify for Expedited SNAP service, you may still be eligible for regular monthly SNAP benefits.
A denial of Expedited SNAP service does not affect your eligibility for SNAP benefits. You will be notified in writing
within 30 days of the date you filed your application about your eligibility.

c
d
e
f
g You will get regular SNAP benefits this month under Case Number .

c
d
e
f
g You are ineligible due to program rules:

The law(s) and/or regulation(s) allowing us to do this is/are: NYCRR § 387.8, § 387.9, § 387.14 and/or § 387.15.

c
d
e
f
g We have determined your household is eligible for SNAP benefits under the Expedited SNAP service criteria.
However, these benefits cannot be issued at this time because your identity cannot be verified. Benefits will be
released when your identity is verified.
c
d
e
f
g We have determined your household is eligible for SNAPbenefits under the Expedited SNAP service criteria.
However, the last time we gave you SNAP benefits was on an expedited basis, pending outstanding
documentation, which you failed to submit. As a result, these benefits cannot be issued to you until you submit all
the outstanding documentation. When we receive the outstanding documentation, we will use that to determine
your SNAP benefit amount and your benefits will be released at that time.
The law(s) and/or regulation(s) allowing us to do this is/are: NYCRR § 387.8 (3) and 7CFR 273.2 (i)(iv).

E. Chen 02/02/2021
Authorized by Date