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-5023 Congregate CareChange Report Form?
A: The LDSS-5023 Congregate Care Change Report Form is a form used in New York to report changes in congregated care facilities.
Q: Who needs to fill out the LDSS-5023 Congregate Care Change Report Form?
A: The LDSS-5023 Congregate Care Change Report Form needs to be filled out by the operator or administrator of the congregated care facility.
Q: What changes need to be reported using the LDSS-5023 Congregate Care Change Report Form?
A: Any changes in the operation, administration, or ownership of the congregated care facility need to be reported using the LDSS-5023 Congregate Care Change Report Form.
Q: Is the LDSS-5023 Congregate Care Change Report Form available in Korean?
A: Yes, the LDSS-5023 Congregate Care Change Report Form is available in Korean for convenience.
Form Details:
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.