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OFFICE OF TEMPORARY AND DISABILITY ASSISTANCE ++ LOCAL COMMISSIONERS MEMORANDUM ++ OTDA4037EL (Rev. 11/98) Transmittal No: Date: 99 LCM19 August 27, 1999, Division: Temporary Assistance TO: Local
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How to fill out LDSS 4647:

01
Begin by ensuring you have the appropriate form. LDSS 4647 is the form used in New York State to report suspected child abuse or maltreatment.
02
Start by providing your personal information. This includes your name, address, telephone number, and date of birth. Make sure to provide accurate and up-to-date information.
03
In the next section, you will be asked to provide information about the child who is allegedly being abused or maltreated. This includes their name, date of birth, and any other identifying information you may have.
04
The form will then ask for details about the alleged abuse or maltreatment. Include as much specific and detailed information as possible. Describe the incidents or behaviors you have observed, the dates and times they occurred, and any witnesses or evidence you have.
05
There is a section dedicated to describing the alleged perpetrator. Provide any information you have about their identity, relationship to the child, and any relevant details about their behavior or actions.
06
If you are aware of any other individuals who may have information about the alleged abuse or maltreatment, there is a section to list their names and contact information.
07
Finally, you will sign and date the completed form. This confirms that the information you provided is accurate to the best of your knowledge.
08
It is important to note that LDSS 4647 should be submitted as soon as possible if you believe a child is in immediate danger. You can mail or fax the form to the appropriate local child protective services office in your area.

Who needs LDSS 4647?

01
Individuals who have observed or have reasonable cause to suspect child abuse or maltreatment are required to complete LDSS 4647.
02
This form should be filled out by anyone ranging from concerned community members to professionals who have contact with children such as educators, medical personnel, or child care providers.
03
The purpose of LDSS 4647 is to facilitate the reporting of suspected child abuse or maltreatment, allowing authorities to intervene and protect the child from further harm. It is a crucial tool in safeguarding the well-being of children in New York State.
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ldss 4647 is a form used by the Department of Social Service to report information related to certain benefits and assistance programs.
Individuals who receive benefits or assistance from the Department of Social Service are required to file ldss 4647.
ldss 4647 can usually be filled out online through the Department of Social Service's website or in person at their office.
The purpose of ldss 4647 is to ensure that individuals receiving benefits or assistance are providing accurate and updated information.
Information such as income, household members, expenses, and any changes in circumstances must be reported on ldss 4647.
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