How do I submit the ABAWD participation record?

Submit the completed form by the fifth of the month following participation. The document does not clearly state where to submit it, so check the county website for current contact details.

Who completes the ABAWD participation record?

The participant completes their information, and a representative of the volunteer or work experience organization completes the program certification, attendance, hours, and duties.

What information does the organization representative provide?

The representative provides the organization’s name and address, status, program type, participation month, hours, duties, certification, signature, date, printed name and title, and phone or email.

Onondaga County, NY · Onondaga County

No notary required

ABAWD Volunteer/Work Experience Participation Record

Onondaga County’s participation record documents volunteer or work experience hours for Able-Bodied Adults Without Dependents meeting federal ABAWD work rules.

At a glance

Issued by: City of Onondaga County · Onondaga County, Onondaga County, New York
Notarization: Not required: file this form without a notary.
Official source: onondaga.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This record documents a participant’s volunteer or work experience with a public or nonprofit organization for meeting federal ABAWD work rules. Participants complete their information, and an organization representative records attendance, hours, duties, and program details, then certifies the activity. Submit the completed record by the fifth of the following month to provide proof of participation and avoid risking SNAP benefits.

Who needs it

Onondaga County SNAP participants subject to ABAWD work rules who meet those rules through volunteering or work experience need this record.

How to submit it

Submit the completed form by the fifth of the following month; the document does not clearly identify a submission destination, so submit it to the county department named on the form and check the county website for current contact details.

About notarization

This record is signed and dated without a notary; the participant and organization representative sign and date their sections.

How to submit this form

1
Download the Record
Download the ABAWD Volunteer/Work Experience Participation Record.
2
Complete Participant Information
Print clearly and complete all participant information lines, including the attendance month, case number, address, signature, and date.
3
Have the Organization Certify Participation
Ask a representative of the organization to complete the activity attendance and program certification sections, including hours and duties.
4
Submit the Completed Record
Submit the form by the fifth of the following month. Check the county website for current submission contact details.

Frequently asked questions

Do I need a notary for the ABAWD participation record?: No. This record is signed and dated without a notary; the participant and organization representative sign and date their sections.
How do I submit the ABAWD participation record?: Submit the completed form by the fifth of the month following participation. The document does not clearly state where to submit it, so check the county website for current contact details.
Who completes the ABAWD participation record?: The participant completes their information, and a representative of the volunteer or work experience organization completes the program certification, attendance, hours, and duties.
What information does the organization representative provide?: The representative provides the organization’s name and address, status, program type, participation month, hours, duties, certification, signature, date, printed name and title, and phone or email.

Need something notarized?

This ABAWD Volunteer/Work Experience Participation Record doesn’t need a notary, but if you have another Onondaga County form that does, a commissioned online notary can help.