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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DOH-5130
for the current year.
Form DOH-5130 Alternative Format Supplement - Options to Receive Information if You Are Blind or Visually Impaired - New York (Italian)
This is a legal form that was released by the New York State Department of Health - a government authority operating within New York.
The document is provided in Italian. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form DOH-5130?
A: Form DOH-5130 is the Alternative Format Supplement - Options to Receive Information if You Are Blind or Visually Impaired for residents of New York.
Q: What is the purpose of Form DOH-5130?
A: The purpose of Form DOH-5130 is to provide options for individuals who are blind or visually impaired to receive information in alternative formats.
Q: Who is eligible to use Form DOH-5130?
A: Individuals who are blind or visually impaired and reside in New York can use Form DOH-5130.
Q: What languages is Form DOH-5130 available in?
A: Form DOH-5130 is available in Italian for residents of New York.
Q: What information does Form DOH-5130 provide?
A: Form DOH-5130 provides information on alternative formats for receiving important health-related information if you are blind or visually impaired.
Q: Are there any fees associated with submitting Form DOH-5130?
A: No, there are no fees associated with submitting Form DOH-5130.
Form Details:
- Released on May 1, 2015;
- The latest edition provided by the New York State Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
Download a printable version of Form DOH-5130 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.
