
Get the free LDSS-4882 (7/12) - NY State of Health
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Application Form for Financial Support (for children from birth to 16 years of age)
ALL SECTIONS MUST BE COMPLETED OR FORM WILL BE
RETURNEDParents/Guardians Names: ___Employment StatusAddress: ___
Mother
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What is ldss-4882 712 - ny?
ldss-4882 712 - ny is a form used by the New York State Department of Social Services to gather information about individuals receiving social services benefits.
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ldss-4882 712 - ny can be filled out by providing accurate and up-to-date information about your income, household members, and any changes in your circumstances.
What is the purpose of ldss-4882 712 - ny?
The purpose of ldss-4882 712 - ny is to ensure that individuals receiving social services benefits are eligible and receiving the correct amount of assistance.
What information must be reported on ldss-4882 712 - ny?
Information such as income, household composition, and changes in circumstances must be reported on ldss-4882 712 - ny.
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