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LDSS4310A (Rev. 1/13) FOLLOWUP TO THE PERIODIC REPORT CASE NAME CASE NUMBER WORKER NUMBER OFFICE/ UNIT NUMBER WORKER NAME (CASELOAD) If you have any questions on how to fill out this Report, call:
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What is ldss-4310a rev - otda?
ldss-4310a rev - otda is a form used for reporting information related to social services.
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Information such as income, household members, and expenses must be reported on ldss-4310a rev - otda.
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