Benefits Assistance

Center for the Independence of the Disabled, New York has partnered with the National Council on Aging to help New Yorkers over 50 and New Yorkers with disabilities to find out what benefits or services they qualify for. Please fill out the form below (only the fields with an *asterisk are required) and our intake specialist will reach out to you within two business days. We look forward to working with you!
Name / Nombre*
First Last
Phone / Número de Teléfono*
Address / Dirección
Street Address Address Line 2 City ZIP / Postal Code
Date of Birth / Fecha de Nacimiento
MM slash DD slash YYYY
Email / Email*
Annual Income / Ingresos Anuales
Current Benefits / Beneficios Actuales

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