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Get the free LDSS 3174-KO - New York State Recertification Form For Certain Benefits and Services...

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LDSS3174 KO (Rev. 07/20) CENTER/ OFFICEINTERVIEW DATE UNIT WORKER ID CASE TYPECAST NUMBERDISTRICTCASE NAMECATEGORYLANGNUMBER REUSE INDICATORCLOSE SIGNATURE OF PERSON WHO OBTAINED ELIGIBILITY INFORMATIONREASON
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ldss 3174-ko - new is a form used by the Department of Social Services for reporting information related to social welfare programs.
Households receiving benefits from social welfare programs are required to file ldss 3174-ko - new.
ldss 3174-ko - new can be filled out online or by submitting a physical form to the Department of Social Services.
The purpose of ldss 3174-ko - new is to collect and update information on individuals receiving social welfare benefits.
ldss 3174-ko - new requires information such as household income, expenses, and any changes in household composition.
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