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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 (Yiddish)
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 Yiddish. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is LDSS-5143B form?
A: LDSS-5143B is a form for providing additional child information in New York, available in Yiddish.
Q: Who needs to fill out LDSS-5143B form?
A: Parents or guardians in New York who need to provide additional child information can fill out LDSS-5143B form.
Q: What information is required in LDSS-5143B form?
A: LDSS-5143B form requires information about the child's household, income, health insurance, and any additional information requested.
Q: Is LDSS-5143B form available in languages other than Yiddish?
A: Yes, LDSS-5143B form is available in multiple languages, including English and Spanish.
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 printable 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.
