N.Y. Comp. Codes R. & Regs. tit. 9, § 6659.5
(b) A municipality shall submit an original application, and three copies, to the State Office for the Aging prior to the start of the program period in the manner and form prescribed by the director, and shall send an informational copy to the area agency(s) on aging that serves the area of such municipality. At a minimum, such application shall include the following information: