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Form LDSS-5023 Congregate Care Change Report Form - New York
What Is Form LDSS-5023?
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-5023?
A: Form LDSS-5023 is the Congregate Care Change Report Form.
Q: What is the purpose of Form LDSS-5023?
A: The purpose of Form LDSS-5023 is to report changes in congregate care arrangements in New York.
Q: Who needs to fill out Form LDSS-5023?
A: Any individual or household that is receiving congregate care services in New York needs to fill out Form LDSS-5023.
Q: What changes need to be reported on Form LDSS-5023?
A: Changes in your congregate care arrangements, such as a change in living arrangements or the addition/removal of individuals in the household, need to be reported on Form LDSS-5023.
Q: Are there any fees associated with submitting Form LDSS-5023?
A: There are no fees associated with submitting Form LDSS-5023.
Q: When should Form LDSS-5023 be submitted?
A: Form LDSS-5023 should be submitted as soon as possible after any changes in congregate care arrangements occur.
Q: What happens after I submit Form LDSS-5023?
A: After you submit Form LDSS-5023, the Department of Social Services will review the information and update your congregate care services accordingly.
Q: What if I don't submit Form LDSS-5023?
A: Failure to submit Form LDSS-5023 may result in incorrect or interrupted congregate care services, and could affect your eligibility for benefits.
Q: Is Form LDSS-5023 specific to New York?
A: Yes, Form LDSS-5023 is specific to congregate care arrangements in the state of New York.
Form Details:
- Released on February 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 Arabic;
- 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-5023 by clicking the link below or browse more documents and templates provided by the New York State Office of Temporary and Disability Assistance.
Download Form LDSS-5023 Congregate Care Change Report Form - New York
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