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Form OCFS-4411 Potassium Iodide (Ki) Refusal / Opt-Out Form - New York
What Is Form OCFS-4411?
This is a legal form that was released by the New York State Office of Children and Family Services - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is OCFS-4411 form?
A: OCFS-4411 form is the Potassium Iodide (Ki) Refusal/Opt-Out Form in New York.
Q: What is Potassium Iodide (Ki)?
A: Potassium Iodide (Ki) is a medication used to protect the thyroid gland from radioactive iodine.
Q: What is the purpose of the OCFS-4411 form?
A: The purpose of the OCFS-4411 form is to allow individuals to refuse or opt-out of receiving Potassium Iodide (Ki) in case of a nuclear emergency.
Q: Who needs to fill out the OCFS-4411 form?
A: Individuals who do not wish to receive Potassium Iodide (Ki) during a nuclear emergency should fill out the OCFS-4411 form.
Q: Is the OCFS-4411 form mandatory?
A: No, filling out the OCFS-4411 form is optional and individuals can choose whether or not to receive Potassium Iodide (Ki) during a nuclear emergency.
Form Details:
- Released on February 1, 2019;
- The latest edition provided by the New York State Office of Children and Family Services;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form OCFS-4411 by clicking the link below or browse more documents and templates provided by the New York State Office of Children and Family Services.
