Form LDSS-5143B Additional Child Information (Application) - New York (Haitian Creole)

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form LDSS-5143B for the current year.

Form LDSS-5143B Additional Child Information (Application) - New York (Haitian Creole)

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 Haitian Creole. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the LDSS-5143B form?A: The LDSS-5143B form is the Additional Child Information (Application) form.

Q: Which state is the LDSS-5143B form used in?A: The LDSS-5143B form is used in New York.

Q: What is the purpose of the LDSS-5143B form?A: The purpose of the LDSS-5143B form is to gather additional information about a child.

Q: Is the LDSS-5143B form available in Haitian Creole?A: Yes, the LDSS-5143B form is available in Haitian Creole.

Q: Who should fill out the LDSS-5143B form?A: The LDSS-5143B form should be filled out by parents or guardians of a child.

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Form Details:

  • Released on February 1, 2021;
  • 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 fillable version of Form LDSS-5143B 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-5143B Additional Child Information (Application) - New York (Haitian Creole)

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  • Form LDSS-5143B Additional Child Information (Application) - New York (Haitian Creole), Page 1
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