This version of the form is not currently in use and is provided for reference only. Download this version of Instructions for Form LDSS-3174 for the current year.
This document contains official instructions in Haitian Creole for Form LDSS-3174 , New York State Recertification Form for Certain Benefits and Services - a form released and collected by the New York State Office of Temporary and Disability Assistance. An up-to-date fillable Form LDSS-3174 is available for download through this link.
Instruction Details:
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