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Form LDSS-5067 Direct Deposit Cancellation Form - New York
What Is Form LDSS-5067?
This is a legal form that was released by the New York State Office of Temporary and Disability Assistance - 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 Form LDSS-5067?
A: Form LDSS-5067 is the Direct Deposit Cancellation Form.
Q: What is the purpose of Form LDSS-5067?
A: The purpose of Form LDSS-5067 is to cancel your direct deposit for New York benefits.
Q: Who should use Form LDSS-5067?
A: This form should be used by individuals who want to cancel their direct deposit for New York benefits.
Q: Is there a fee to submit Form LDSS-5067?
A: No, there is no fee to submit Form LDSS-5067.
Q: What information do I need to provide on Form LDSS-5067?
A: You will need to provide your name, address, Social Security number, and the reason for canceling your direct deposit.
Q: What should I do if I have questions about Form LDSS-5067?
A: If you have questions about Form LDSS-5067, you should contact the New York State Office of Temporary and Disability Assistance.
Form Details:
- Released on July 1, 2015;
- The latest edition provided by the New York State Office of Temporary and Disability Assistance;
- Easy to use and ready to print;
- Available in Haitian Creole;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form LDSS-5067 by clicking the link below or browse more documents and templates provided by the New York State Office of Temporary and Disability Assistance.
