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NEW YORK STATE OFFICE OF TEMPORARY AND DISABILITY ASSISTANCE 40 NORTH PEARL STREET ALBANY, NY 122430001 David A. Paterson Governor Section 1 Transmittal: To: Issuing Division/Office Date: Subject:
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LDSS 4526 is a form used by social services agencies to collect information about individuals receiving public assistance.
Individuals receiving public assistance are required to file LDSS 4526.
LDSS 4526 can be filled out by providing the requested information accurately and completely.
The purpose of LDSS 4526 is to gather updated information about individuals receiving public assistance.
Information such as income, household composition, and other relevant details must be reported on LDSS 4526.
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