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Closed Case LDSS4682 (Rev.5/03) NOTIFICATION OF OVERPAYMENT OF PUBLIC ASSISTANCE TO A FORMER RECIPIENT AND DEMAND FOR REPAYMENT NAME AND ADDRESS OF AGENCY/CENTER OR DISTRICT OFFICE NOTICE DATE: FORMER
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Who needs 4682doc - otda ny?

The 4682doc - otda ny form is primarily required by individuals who need to apply for assistance or benefits from the New York State Office of Temporary and Disability Assistance (OTDA). This form helps in determining eligibility for various programs, such as financial assistance, food stamps, Medicaid, and other support services provided by OTDA.
Anyone seeking assistance or benefits from OTDA for themselves or their household may need to fill out this form. It is important to check with OTDA or the specific program you are applying for to confirm if the 4682doc - otda ny form is applicable to your situation.
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4682doc - otda ny is a form used by the New York State Office of Temporary and Disability Assistance for reporting certain information related to benefits.
Individuals or households receiving benefits from the New York State Office of Temporary and Disability Assistance may be required to file 4682doc - otda ny.
To fill out 4682doc - otda ny, individuals must provide accurate information about their benefits and household composition as requested on the form.
The purpose of 4682doc - otda ny is to ensure that individuals receiving benefits are accurately reporting their information and eligibility.
Information such as household composition, income, expenses, and other relevant details related to benefits must be reported on 4682doc - otda ny.
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