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This version of the form is not currently in use and is provided for reference only. Download this version of
Form ELI
for the current year.
Form ELI Transmittal Form for Determination of Developmental Disability - New York
What Is Form ELI?
This is a legal form that was released by the New York State Office for People With Developmental Disabilities - 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 an ELI Transmittal Form?
A: An ELI Transmittal Form is a form used in New York to request a determination of developmental disability.
Q: Who can use the ELI Transmittal Form?
A: The ELI Transmittal Form can be used by individuals or their representatives to request a determination of developmental disability.
Q: What is a developmental disability?
A: A developmental disability is a severe chronic disability that is attributable to a mental or physical impairment that originates before the age of 22 and is likely to continue indefinitely. It results in substantial functional limitations in three or more major life areas.
Q: What information is needed to complete the ELI Transmittal Form?
A: The ELI Transmittal Form requires information about the individual's personal details, medical history, and any relevant assessments or evaluations.
Q: What should I do with the completed ELI Transmittal Form?
A: The completed ELI Transmittal Form should be sent to the appropriate local developmental disabilities services office.
Q: What happens after I submit the ELI Transmittal Form?
A: After the ELI Transmittal Form is submitted, the local developmental disabilities services office will review the information and determine if the individual meets the criteria for developmental disability.
Q: How long does it take to receive a determination of developmental disability?
A: The timeframe for receiving a determination of developmental disability may vary, but the goal is to provide a response within 45 days of receiving the completed ELI Transmittal Form.
Q: What if the ELI Transmittal Form is denied?
A: If the ELI Transmittal Form is denied, the individual or their representative has the right to request a fair hearing to appeal the decision.
Q: Are there any fees associated with submitting the ELI Transmittal Form?
A: No, there are no fees associated with submitting the ELI Transmittal Form.
Form Details:
- Released on September 1, 2012;
- The latest edition provided by the New York State Office for People With Developmental Disabilities;
- Easy to use and ready to print;
- Available in Bengali;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form ELI by clicking the link below or browse more documents and templates provided by the New York State Office for People With Developmental Disabilities.
Download Form ELI Transmittal Form for Determination of Developmental Disability - New York
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