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LDSS4144 (Rev. 8/06) Attachment III NOTICE OF DECISION ON YOUR MEDICAL ASSISTANCE APPLICATION LIMITED COVERAGE (Transfer of Assets Penalty) NOTICE DATE: CASE NUMBER EFFECTIVE DATE: IN NUMBER NAME
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What is ldss-4144 rev 806 notice?
The ldss-4144 rev 806 notice is a document used by the New York State Office of Temporary and Disability Assistance (OTDA) to notify individuals of their eligibility for various benefits and services.
Who is required to file ldss-4144 rev 806 notice?
The ldss-4144 rev 806 notice is typically filed by individuals who are seeking or receiving benefits and services from the New York State Office of Temporary and Disability Assistance (OTDA).
How to fill out ldss-4144 rev 806 notice?
To fill out the ldss-4144 rev 806 notice, individuals need to provide their personal information, details about their current situation, and any relevant supporting documents. It is recommended to carefully read the instructions provided with the notice to ensure accurate completion.
What is the purpose of ldss-4144 rev 806 notice?
The purpose of the ldss-4144 rev 806 notice is to inform individuals about their eligibility for benefits and services provided by the New York State Office of Temporary and Disability Assistance (OTDA). It serves as a communication tool between the OTDA and individuals seeking or receiving assistance.
What information must be reported on ldss-4144 rev 806 notice?
The ldss-4144 rev 806 notice requires individuals to provide personal information such as their name, address, and contact details. Additionally, individuals may be required to provide information about their income, household composition, and other relevant factors to determine their eligibility for benefits and services.
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