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Form LDSS-5024 Designated Representative Form - New York (Russian)
This is a legal form that was released by the New York State Office of Temporary and Disability Assistance - a government authority operating within New York.
The document is provided in Russian. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the LDSS-5024 Designated Representative Form?A: The LDSS-5024 Designated Representative Form is a form used in New York to designate someone to represent you in matters related to public assistance and Medicaid.
Q: Who can use the LDSS-5024 Designated Representative Form?A: Any individual in New York who is receiving or applying for public assistance or Medicaid can use the LDSS-5024 form to designate a representative.
Q: What is the purpose of the LDSS-5024 Designated Representative Form?A: The purpose of the LDSS-5024 Designated Representative Form is to allow individuals to appoint someone to act on their behalf for matters related to public assistance and Medicaid.
Q: Do I need to fill out the LDSS-5024 Designated Representative Form in Russian?A: If you are fluent in Russian and prefer to fill out the form in Russian, you can use the LDSS-5024 Designated Representative Form in Russian. Otherwise, you can use the English version of the form.
Form Details:
- Released on March 1, 2015;
- The latest edition provided by the New York State Office of Temporary and Disability Assistance;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
Download a printable version of Form LDSS-5024 by clicking the link below or browse more documents and templates provided by the New York State Office of Temporary and Disability Assistance.
Download Form LDSS-5024 Designated Representative Form - New York (Russian)
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