Adults & Children
This page asks you to tell us who else besides you lives in your home and how they are related to you. Since you already told us about you, this page is just for those other people. The number of people on the page should equal the number of other people who live in your home. If you see the wrong total number of people on the page, then click the BACK button and change the number of people who live in your home. If you see the right number of people but we have not put them into the right section for children and adults, just go ahead and answer the questions. We will put those people in the right sections later on. To answer the questions:
  • Type the first name, nickname or initials in the first box for each person. We do not need to know their real name or their last name. Keep in mind that each name or set of initials must be different from the others.
  • Then, type the age of each person in the second box. If you do not know someone’s exact age, just make the best guess you can. If there is a baby living in your home who is less than one year old, just type in 0.
  • New York State ensures your right to access State benefits and/or services regardless of sex, gender identity, or expression. You must report your sex and the sex of all household members as male or female. The sex you report here must be the same as what is currently on file with the United States Social Security Administration.
  • Please click the button to let us know whether each person is male or female.
  • Gender identity is how you perceive yourself and what you call yourself. Your gender identity can be the same as or different from your sex assigned at birth. Gender identity is not required for this application. If your gender identity, or the gender identity of anyone in your household, is different than the sex you report for that person and you would like to provide that person’s gender identity, select “Male,” “Female,” “Non-Binary,” “X,” “Transgender,” or “Different Identity” in the space provided.
  • The last question asks you to select the words that best describe how you are related to the person. Click on the gray triangle to see the list of options, then choose one. Here are some examples to help you out:
If you are the…Choose these words…
Legal husband or wife of the personis legally married to
Unmarried partner, girlfriend or boyfriend of the personis not related to
Mother or Stepmother of the personis a Child/Step-child of
Father or Stepfather of the personis a Child/Step-child of
Legally adoptive parent of the personis a Child/Step-child of
Daughter or Stepdaughter of the personis a Parent/Step-parent of
Son or Stepson of the personis a Parent/Step-parent of
Legally adopted child of the personis a Parent/Step-parent of
Grandmother or Grandfather of the personis related in another way to
Aunt or Uncle of the personis related in another way to
Sister, half-sister or stepsister of the personis related in another way to
Brother, half-brother or stepbrother of the personis related in another way to
Cousin or some other relative by blood or marriageis related in another way to
Foster parent or foster child of the personis not related to
Friend taking care of the personis not related to
Friend living with the personis not related to