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LDSS-4726 (Rev. 6/07) TANK SERVICES APPLICATION/CERTIFICATION Instructions The information requested on this form is necessary to determine whether federal Temporary Assistance for Needy Families

How to fill out ldss 4770 rev 906

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Who needs ldss 4770 rev 906:

1. Individuals who are required to report their income and employment information to the relevant authorities.
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What is ldss 4770 rev 906?

LDSS 4770 rev 906 is a form required by the New York State Department of Social Services for reporting incidents of abuse or neglect in residential programs.

Who is required to file ldss 4770 rev 906?

Any residential program or facility regulated or licensed by the New York State Office of Children and Family Services is required to file ldss 4770 rev 906.

How to fill out ldss 4770 rev 906?

To fill out ldss 4770 rev 906, you need to provide information about the incident, the individuals involved, and any witnesses. You must also describe the nature of the incident, injuries sustained if applicable, and any actions taken as a result.

What is the purpose of ldss 4770 rev 906?

The purpose of ldss 4770 rev 906 is to ensure that incidents of abuse or neglect in residential programs are properly reported and documented in order to protect the well-being of the individuals receiving care.

What information must be reported on ldss 4770 rev 906?

On ldss 4770 rev 906, you must report details such as the date, time, and location of the incident, the names and ages of all individuals involved, a description of the incident, any injuries sustained, any witnesses, and any actions taken.