Form RS4139 Affidavit for Benefit Payment (1310.4) - New York

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Form RS4139 Affidavit for Benefit Payment (1310.4) - New York

What Is Form RS4139?

This is a legal form that was released by the Office of the New York State Comptroller - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form RS4139?A: Form RS4139 is an Affidavit for Benefit Payment (1310.4) used in the state of New York.

Q: What is the purpose of Form RS4139?A: The purpose of Form RS4139 is to declare and certify the eligibility of an individual for benefit payment.

Q: Who needs to fill out Form RS4139?A: Form RS4139 needs to be filled out by individuals who are applying for benefit payments in the state of New York.

Q: What information is required on Form RS4139?A: Form RS4139 requires the individual to provide personal information, employment history, and details about the nature of their benefit claim.

Q: Are there any supporting documents required with Form RS4139?A: Yes, additional supporting documents may be required depending on the specific benefit program. These documents vary and are mentioned in the instructions provided with the form.

Q: What should I do if I have questions or need assistance with Form RS4139?A: If you have questions or need assistance, you can contact the government agency or department responsible for administering the benefit program. They will be able to provide guidance and support.

Q: Is there a fee for submitting Form RS4139?A: No, there is no fee for submitting Form RS4139.

Q: How long does it take to process Form RS4139?A: The processing time for Form RS4139 can vary depending on the specific benefit program and the workload of the government agency. It is recommended to check with the relevant agency for estimated processing times.

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Form Details:

  • Released on October 1, 2018;
  • The latest edition provided by the Office of the New York State Comptroller;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form RS4139 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Office of the New York State Comptroller.

Download Form RS4139 Affidavit for Benefit Payment (1310.4) - New York

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