Form OCFS-4411-RU Potassium Iodide (Ki) Refusal / Opt-Out Form - New York (Russian)

Form OCFS-4411-RU Potassium Iodide (Ki) Refusal / Opt-Out Form - New York (Russian)

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.

FAQ

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.

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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;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

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.

Download Form OCFS-4411-RU Potassium Iodide (Ki) Refusal / Opt-Out Form - New York (Russian)

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  • Form OCFS-4411-RU Potassium Iodide (Ki) Refusal / Opt-Out Form - New York (Russian), Page 1
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