Form LDSS-3174 Recertification Form for Certain Benefits and Services - New York (Haitian Creole)

Form LDSS-3174 Recertification Form for Certain Benefits and Services - 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. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on July 1, 2020;
  • The latest edition provided by the New York State Office of Temporary and Disability Assistance;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form LDSS-3174 by clicking the link below or browse more documents and templates provided by the New York State Office of Temporary and Disability Assistance.

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Download Form LDSS-3174 Recertification Form for Certain Benefits and Services - New York (Haitian Creole)

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