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LDSS4145 (Rev. 8/06) Attachment IV NOTICE OF DECISION ON YOUR REQUEST FOR COVERAGE OF NURSING FACILITY SERVICES LIMITED COVERAGE (Transfer of Assets Penalty) NOTICE DATE: EFFECTIVE DATE: NAME AND
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What is ldss-4145 rev 806 notice?
LDSS-4145 REV 806 Notice is a form used by the New York State Office of Temporary and Disability Assistance (OTDA) to notify individuals of changes in their public assistance benefits.
Who is required to file ldss-4145 rev 806 notice?
The individuals who are receiving public assistance benefits in New York State are required to file LDSS-4145 REV 806 Notice.
How to fill out ldss-4145 rev 806 notice?
To fill out LDSS-4145 REV 806 Notice, you need to provide your personal information, including your name, address, and case number. You also need to indicate the changes in your circumstances that have occurred. The form can be filled out online or submitted in person at your local social services office.
What is the purpose of ldss-4145 rev 806 notice?
The purpose of LDSS-4145 REV 806 Notice is to inform individuals receiving public assistance benefits about changes in their benefits and to ensure that they are aware of their rights and responsibilities.
What information must be reported on ldss-4145 rev 806 notice?
On LDSS-4145 REV 806 Notice, you must report any changes in your household composition, income, assets, and other relevant information that may affect your eligibility for public assistance benefits.
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