Form DOH-5130 Alternative Format Supplement - Options to Receive Information if You Are Blind or Visually Impaired - New York (Italian)

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form DOH-5130 for the current year.

Form DOH-5130 Alternative Format Supplement - Options to Receive Information if You Are Blind or Visually Impaired - New York (Italian)

This is a legal form that was released by the New York State Department of Health - a government authority operating within New York.

The document is provided in Italian. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DOH-5130?
A: Form DOH-5130 is the Alternative Format Supplement - Options to Receive Information if You Are Blind or Visually Impaired for residents of New York.

Q: What is the purpose of Form DOH-5130?
A: The purpose of Form DOH-5130 is to provide options for individuals who are blind or visually impaired to receive information in alternative formats.

Q: Who is eligible to use Form DOH-5130?
A: Individuals who are blind or visually impaired and reside in New York can use Form DOH-5130.

Q: What languages is Form DOH-5130 available in?
A: Form DOH-5130 is available in Italian for residents of New York.

Q: What information does Form DOH-5130 provide?
A: Form DOH-5130 provides information on alternative formats for receiving important health-related information if you are blind or visually impaired.

Q: Are there any fees associated with submitting Form DOH-5130?
A: No, there are no fees associated with submitting Form DOH-5130.

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Form Details:

  • Released on May 1, 2015;
  • The latest edition provided by the New York State Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form DOH-5130 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.

Download Form DOH-5130 Alternative Format Supplement - Options to Receive Information if You Are Blind or Visually Impaired - New York (Italian)

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  • Form DOH-5130 Alternative Format Supplement - Options to Receive Information if You Are Blind or Visually Impaired - New York (Italian), Page 1
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