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 Russian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form DOH-5069 RU?
A: Form DOH-5069 RU is the access to services complaint form for Russian speakers in New York.
Q: Who can use Form DOH-5069 RU?
A: Russian speakers in New York who require access to services in their language can use Form DOH-5069 RU.
Q: What is the purpose of Form DOH-5069 RU?
A: The purpose of Form DOH-5069 RU is to file a complaint regarding the lack of access to services in Russian.
Q: What information is required on Form DOH-5069 RU?
A: Form DOH-5069 RU requires detailed information about the complaint, including the date and details of the incident, and contact information of the complainant.
Form Details:
Download a printable version of Form DOH-5069 RU by clicking the link below or browse more documents and templates provided by the New York State Department of Health.