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.
The document is provided in Korean. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the LDSS-5067 form?
A: The LDSS-5067 form is the Direct Deposit Cancellation Form in New York.
Q: Who is this form for?
A: This form is for individuals in New York who want to cancel their direct deposit.
Q: What is the purpose of this form?
A: The purpose of this form is to cancel the direct deposit for benefits received in New York.
Q: Is this form available in Korean?
A: Yes, this form is available in Korean.
Form Details:
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.