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NEW YORK STATE OFFICE OF TEMPORARY AND DISABILITY ASSISTANCE 40 NORTH PEARL STREET ALBANY, NY 12243-0001 David A. Paterson Governor Informational Letter Section 1 Transmittal: To: Issuing Division/Office:

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What is 09-inf-21 revision to ldss-4887?

09-inf-21 revision to ldss-4887 is an updated version of the ldss-4887 form used for reporting information related to social services.

Who is required to file 09-inf-21 revision to ldss-4887?

Individuals or organizations who receive social services benefits or are involved in social services programs may be required to file the 09-inf-21 revision to ldss-4887.

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The purpose of 09-inf-21 revision to ldss-4887 is to ensure that accurate information is provided for social services programs and benefits, and to facilitate the appropriate allocation of resources.

What information must be reported on 09-inf-21 revision to ldss-4887?

The 09-inf-21 revision to ldss-4887 may require information such as personal details, financial information, eligibility criteria, and program participation details, among others.

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