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A. NYS ESD CERTIFIED MBE B. 6. IF UNABLE TO FULLY MEET THE MBE AND WBE GOALS SET FORTH IN THE CONTRACT OFFEROR MUST SUBMIT A REQUEST FOR WAIVER FORM - OTDA - 4969. Offeror s Name Address City State Zip Code Telephone No. Region/Location of Work 1. Certified M/WBE Subcontractors/Suppliers Name Address Email Address Telephone No. Federal Identification No. Solicitation Name/Contract No. MWBE Certified No M/WBE Goals in Contract MBE 2. OTDA 4937 Rev. 1/2016 Office of Temporary and Disability...
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How to fill out otda 4937 rev
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To fill out OTDA 4937 REV, follow these steps:
02
Start by carefully reading the instructions on the form. Make sure you understand all the requirements and gather all the necessary information and documents before you begin.
03
Begin by filling out the basic information section, including your name, address, and contact details. Ensure that all the information is accurate and legible.
04
Move on to the section related to your household composition. Provide details about all the members of your household, including their names, ages, relationship to you, and any disabilities or special needs they may have.
05
Next, you will need to provide financial information. This includes details about your household's income, expenses, assets, and liabilities. Be thorough and provide accurate information to the best of your knowledge. Use additional sheets if necessary.
06
If applicable, provide information about any assistance programs you are currently receiving or have received in the past. Include details about the program name, dates of participation, and any case numbers or reference numbers.
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Who needs otda 4937 rev?
01
OTDA 4937 REV is needed by individuals or households who are applying for or receiving assistance from the New York Office of Temporary and Disability Assistance (OTDA).
02
This form is specifically designed for the purpose of collecting information about household composition, financial resources, and other related details to determine eligibility for various assistance programs administered by OTDA.
03
Anyone who falls under the criteria set by OTDA and requires assistance in the form of benefits, such as Temporary Assistance, SNAP (Supplemental Nutrition Assistance Program), Home Energy Assistance, or other similar programs, may need to fill out this form.
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It is important to carefully review the eligibility requirements and instructions provided by OTDA to determine if you need to fill out OTDA 4937 REV or any other relevant form.
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What is otda 4937 rev?
OTDA 4937 rev is a form used to report income and expenses for certain programs administered by the Office of Temporary and Disability Assistance (OTDA).
Who is required to file otda 4937 rev?
Providers who receive funding from OTDA for specific programs are required to file OTDA 4937 rev.
How to fill out otda 4937 rev?
OTDA 4937 rev must be completed accurately and all income and expenses related to the specific programs must be reported.
What is the purpose of otda 4937 rev?
The purpose of OTDA 4937 rev is to ensure transparency and accountability in the use of funds for programs administered by OTDA.
What information must be reported on otda 4937 rev?
Providers must report all income received and expenses incurred for the specific programs funded by OTDA.
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