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.
The document is provided in Russian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form OCFS-4411-RU?
A: Form OCFS-4411-RU is the Potassium Iodide (Ki) Refusal/Opt-Out Form in Russian.
Q: What is Potassium Iodide (Ki)?
A: Potassium Iodide (Ki) is a medication that can help protect the thyroid gland from the effects of radiation.
Q: What is the purpose of this form?
A: The purpose of this form is to allow individuals to refuse or opt out of receiving Potassium Iodide (Ki) during a radiological emergency.
Form Details:
Download a printable version of Form OCFS-4411-RU by clicking the link below or browse more documents and templates provided by the New York State Office of Children and Family Services.