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LDSS-2921 Statewide-RU Rev. 1/05 CENTER/ OFFICE APPLICATION DATE UNIT ID WORKER ID CASE TYPE SERV. IND CASE NUMBER CASE NAME REGISTRY NUMBER LIFELINE EFFECTIVE DATE DISPOSITION DENIAL ELIGIBILITY DETERMINED BY WORKER DATE ELIGIBILITY APPROVED BY SUPERVISOR VERS REASON CODE FORM DISTRICT EMPLOYED BY SOCIAL SERVICES DISTRICT TA AUTHORIZATION PERIOD FROM PROVIDER AGENCY CATEGORY NUMBER REUSE INDICATOR x TO LANG SPECIFY FS SUFFIX SERVICES TRANSACTIO...
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LDSS 2921 is a form used by local social services districts in New York State to report the receipt and disbursement of funds from various federal, state, and local sources.
Local social services districts in New York State are required to file LDSS 2921 to report their financial activities.
LDSS 2921 should be filled out by providing accurate and complete information about the funds received and disbursed by the social services districts. The form may require details such as the funding source, amount received, purpose of funds, and recipient of the funds.
The purpose of LDSS 2921 is to ensure transparency and accountability in the financial activities of local social services districts. It helps track the flow of funds and monitor their use for various social service programs.
LDSS 2921 requires the reporting of various financial details, including the funding source, amount received, purpose of funds, recipient of funds, and any other relevant information as specified by the form.
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