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SIGNATURE OF PERSON WHO OBTAINED ELIGIBILITY INFORMATION ... NEW YORK STATE ..... Private Disability Insurance-Health/Accident Insurance Policy Income 22 .... Has any government agency (public program)
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What is ldss 2921?
ldss 2921 is a form used in New York State to report suspected cases of child abuse or maltreatment.
Who is required to file ldss 2921?
Mandated reporters, such as teachers, doctors, and social workers, are required to file ldss 2921 if they have reasonable cause to suspect child abuse or maltreatment.
How to fill out ldss 2921?
To fill out ldss 2921, mandated reporters should provide all the requested information on the form, including details about the child, the suspected abuse or maltreatment, and their contact information.
What is the purpose of ldss 2921?
The purpose of ldss 2921 is to ensure that suspected cases of child abuse or maltreatment are reported to the appropriate authorities, so that appropriate actions can be taken to protect the child.
What information must be reported on ldss 2921?
On ldss 2921, mandated reporters must provide information about the child, such as their name, age, and address, as well as details about the suspected abuse or maltreatment and any relevant observations or evidence.
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