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How to fill out LDSS-3151 (Rev. 2/04)

01
Obtain the LDSS-3151 form from the New York State Office of Temporary and Disability Assistance website or local social services office.
02
Read the instructions provided with the form to understand the information required.
03
Fill in your personal information in the designated sections, including your name, address, and contact details.
04
Provide details regarding your household composition, including the names and relationships of all members.
05
Complete the income section by listing all sources of income for household members, including wages, benefits, and other earnings.
06
Report any assets you and your household members own, such as bank accounts, real estate, and vehicles.
07
Review all information entered to ensure accuracy and completeness.
08
Sign and date the form to certify that the information provided is true.
09
Submit the completed form to your local social services office either in person or via mail.

Who needs LDSS-3151 (Rev. 2/04)?

01
Individuals and families applying for or recertifying for public assistance or benefits in New York State.
02
Persons seeking assistance through the Supplemental Nutrition Assistance Program (SNAP).
03
Applicants who need to verify their income and household size for any social service support.
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LDSS-3151 (Rev. 2/04) is a form used in the New York State social services system for reporting suspected child abuse or maltreatment.
Any individual who has reasonable cause to suspect that a child has been abused or maltreated is required to file LDSS-3151 (Rev. 2/04). This includes professionals working with children, such as teachers, doctors, and social workers.
To fill out LDSS-3151 (Rev. 2/04), one must provide detailed information about the child, the suspected abuser, the nature of the suspected abuse or maltreatment, and any other relevant information that may assist in the investigation.
The purpose of LDSS-3151 (Rev. 2/04) is to report instances of suspected child abuse or neglect to ensure the safety and well-being of children in New York State.
The information that must be reported on LDSS-3151 (Rev. 2/04) includes the child's name, age, address, details of the suspected abuse or neglect, the name of the suspected perpetrator, and any witnesses or other individuals who may have information about the case.
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