Form OTDA4987-HA Access to Services in Your Language: Complaint Form - New York (Haitian Creole)

Form OTDA4987-HA Access to Services in Your Language: Complaint Form - 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 Form OTDA4987-HA?A: Form OTDA4987-HA is a complaint form.

Q: What does the form provide access to?A: The form provides access to services in Haitian Creole language.

Q: What is the purpose of the form?A: The purpose of the form is to file a complaint regarding access to services in Haitian Creole language.

Q: Who can use the form?A: Anyone in New York who wants to file a complaint regarding access to services in Haitian Creole language can use the form.

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Form Details:

  • Released on October 1, 2012;
  • 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 OTDA4987-HA 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 OTDA4987-HA Access to Services in Your Language: Complaint Form - New York (Haitian Creole)

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  • Form OTDA4987-HA Access to Services in Your Language: Complaint Form - New York (Haitian Creole), Page 1
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