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This form is used for obtaining authorization under the Health Insurance Portability and Accountability Act (HIPAA) for volunteers involved with the World Trade Center in New York.
This document authorizes the use and disclosure of health information for volunteers at the World Trade Center site under the Health Insurance Portability and Accountability Act (HIPAA). It is available in Haitian Creole for residents of New York.
This Form is used for obtaining authorization for the disclosure of protected health information under the Health Insurance Portability and Accountability Act (HIPAA) for World Trade Center volunteers in New York who speak Italian.
This document is used for obtaining authorization from World Trade Center volunteers in New York to access and disclosure their medical insurance information under the Health Insurance Portability and Accountability Act (HIPAA).
This Form is used for obtaining authorization under the Health Insurance Portability and Accountability Act (HIPAA) for World Trade Center volunteers in New York.
This form is used for inspecting and reporting on emergency ambulance service vehicles in New York.
This Form is used for conducting a review of the long-stay cases in Qualified Residential Treatment Programs (QRTP) in New York. It helps in evaluating the progress, needs, and potential discharge plans of the residents.
This Form is used for requesting an alternative format supplement in Haitian Creole in the state of New York.
This Form is used for approving childcare benefits during transition in New York. It is an example form.
This Form is used for approving the redetermination for childcare benefits in New York. It is an example form.
Este formulario se utiliza para solicitar la aprobación de beneficios de cuidado infantil en el estado de Nueva York. Permite a los solicitantes recibir asistencia financiera para el cuidado de sus hijos.
This Form is used for notifying and returning overpayment of child care assistance in New York. It provides an example of the notification and return requirements.
This form is used for notifying individuals in New York about the determination of fraud, disqualification for receiving childcare benefits, and the repayment plan for overpayment. It is available in Spanish.
This Form is used for notifying the intent to change child care benefits and family fee payments in New York. (Spanish)
This document is a denial form for a request for child care benefits in New York. It is an example in Spanish.
This type of document is a formulario (form) used for notifying individuals of the evaluation of their child care benefits in New York. It is an example form without any changes.
This Form is used for creating a medical care plan for child care centers in New York. (Spanish version)
This Form is used to assess the appropriateness of placement in a prenatal, postpartum, or parenting/empowerment setting in New York.
This Form is used for the denial of an application for child care benefits in New York. It provides a sample of the denial and serves as a reference for applicants who have been denied.
This Form is used for notifying the New York State Office of Children and Family Services about changes in child care benefits and family share payments. It serves as a formal notice of intent to change child care benefits.
This type of document is a common referral and intake packet for Empower Programs in New York.
This type of document is a form called "OCFS-LDSS-7022-S Plan De Atencion Medica - Cuidado Infantil De Ninos En Edad Escolar" used for medical care and child care for school-aged children in New York.
This form is used for creating a medical care plan for family daycare, group family daycare, and small child care centers in New York. (Spanish)
This document is used to request an extension for various purposes in the state of New York. It allows individuals to extend deadlines for filing taxes, submitting paperwork, or other matters that may require additional time.