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Form DOH-3867 Complaint Form - New York (Haitian Creole)
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 Haitian Creole. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DOH-3867 Complaint Form?A: The DOH-3867 Complaint Form is a form used to report complaints in the state of New York.
Q: What language is the form available in?A: The form is available in Haitian Creole.
Q: What kind of complaints can be reported using this form?A: Any type of complaint related to health and healthcare services in New York can be reported using this form.
Q: Who can submit a complaint using this form?A: Anyone who has a complaint about health or healthcare services in New York can submit a complaint using this form.
Q: Is the form confidential?A: Yes, the information provided on the DOH-3867 Complaint Form is confidential and will only be used for the purpose of investigating the complaint.
Q: What should I do if I need help filling out the form?A: If you need assistance with filling out the form, you can contact the Department of Health or a language interpreter to help you.
Q: Are there any fees associated with submitting a complaint using this form?A: No, there are no fees associated with submitting a complaint using the DOH-3867 Complaint Form.
Form Details:
- Released on July 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-3867 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the New York State Department of Health.
Download Form DOH-3867 Complaint Form - New York (Haitian Creole)
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