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COMMON FORMS AND APPLICATIONS - SocialServices
NYS OTDA (Office Of Temporary & Disability Assistance) Forms and Applications
LinkLink


2008 Release Form - SocialServices

PDFLink


2016 Poverty Level Figures - SocialServices
2016 Poverty Level Figures
PDFLink


APPLICATION FOR ADD TO ACTIVE CASE - SocialServices
APPLICATION FOR ADD TO ACTIVE CASE
PDFLink


APPOINTMENT OF AUTHORIZED REPRESENTATIVE - SocialServices
APPOINTMENT OF AUTHORIZED REPRESENTATIVE
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Child and Family Services Current Plan - SocialServices
Child and Family Services Current Plan for 2016
PDFLink


Child and Family Services Proposed Plan 2016 - SocialServices
Child and Family Services Proposed Plan 2016
PDFLink


Child Visitation-IM1988 - SocialServices
CHILD VISITATION
PDFLink


CLIENT REIMBURSEMENT - SocialServices
INFORMAL PROVIDER CLIENT DAY CARE STATEMENT
PDFLink


Day Care Application - SocialServices
Day Care Application (Oct 2016)
PDFLink


Day Care Cover - SocialServices
Day Care Cover
PDFLink


DAY CARE SCHEDULE - SocialServices
DAY CARE WEEKLY SCHEDULE
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Dear Applicant 2 - SocialServices
Dear Applicant 2
PDFLink


Employer Sponsored Health Insurance - SocialServices
Employer Sponsored Health Insurance
PDFLink


FAMILY/GROUP HOME & DAY CARE REIMBURSEMENT - SocialServices
FAMILY GROUP CENTER DAY CARE STATEMENT
PDFLink


Fill in CS Statement - SocialServices
Fill in CS Statement
PDFLink


HEAP-Self Employment Form-3785 - SocialServices
HEAP Self Employment Worksheet
PDFLink


HOW TO COMPLETE CHILD CARE SERVICES APPLICATION - SocialServices
CHILD CARE SERVICES APPLICATION AND IMPORTANT INFORMATION
PDFLink


Instructions For Day Care Application - SocialServices
Instructions For Day Care Application
PDFLink


LANDLORD STATEMENT FOR FOOD STAMPS ONLY - SocialServices
FS LANDLORD STATEMENT GEN 1971
PDFLink


LANDLORD STATEMENT FOR MEDICAL ASSISTANCE ONLY - SocialServices
MA LANDLORD STATEMENT
PDFLink


LANDLORD STATEMENT FOR TEMPORARY ASSISTANCE ONLY - SocialServices
TA LANDLORD STATEMENT IM-1871
PDFLink


Low Income Worksheet-3829 - SocialServices
HOME ENERGY ASSISTANCE PROGRAM (HEAP) LOW INCOME WORKSHEET
PDFLink


Market Rate Sheet 2016 - SocialServices
Market Rate Sheet 2016
PDFLink


No Income Statement-HEAP - SocialServices
HEAP No Income Statement
PDFLink


Notice to Day Care Recipients - SocialServices
Notice to Day Care Recipients
PDFLink


OCCUPANCY STATEMENT - SocialServices
OCCUPANCY STATEMENT
PDFLink


Occupancy Statement (8-05) - SocialServices
Occupancy Statement (8-05)
PDFLink


Provider Information - SocialServices
Provider Information
PDFLink


PROVIDER REIMBURSEMENT - SocialServices
INFORMAL PROVIDER DAY CARE STATEMENT
PDFLink


RECERT DOCUMENTATION - MEDICAL ASSISTANCE - SocialServices
RECERT DOCUMENTATION REQUREMENTS
PDFLink


Resource Check List - SocialServices
Adult Medicaid/FHP Resource Check List
PDFLink


SELF EMPLOYMENT LOG-1886 - SocialServices
SELF EMPLOYMENT LOG
PDFLink


 

 



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