N.Y. Comp. Codes R. & Regs. tit. 19 § 134.5

Current through Register Vol. 46, No. 51, December 18, 2024

Section 134.5 - Program participant application and certification process

(a) Each program participant must be certified by the program to participate in the program.

(b) Program participant certification will be granted only where the prospective program participant:

(1) is a current New York resident;

(2) is a victim of domestic violence as defined in section 459-a of the Social Services Law;

(3) affirms under penalties of perjury that the disclosure of his or her address will threaten the safety of the applicant or applicant's minor children or the minor or the incapacitated person on whose behalf the application is made;

(4) completes, signs and dates an application that provides all necessary information required under Executive Law section 108(2); and

(5) agrees in writing to abide by all written program rules, policies and procedures.

(c) Prior to certification of the application, the program may request additional documentation from the program applicant relevant to a determination of eligibility.

(d) A properly completed application shall be effective on the day that it is certified by the program.

(e) An individual who is certified as a program participant shall be issued an identification card that includes her or his name, substitute mailing address, and certification expiration date.

(f) The term of a program participant's certification shall be four years following the effective date of her or his application unless the certification is withdrawn or canceled before that date.

N.Y. Comp. Codes R. & Regs. Tit. 19 § 134.5