Form LDSS-5143B Additional Child Information (Application) - New York

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form LDSS-5143B for the current year.

Form LDSS-5143B Additional Child Information (Application) - New York

What Is Form LDSS-5143B?

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-5143B?
A: Form LDSS-5143B is a document for providing additional child information for an application in New York.

Q: Who needs to fill out Form LDSS-5143B?
A: Those who are applying for a program or service in New York that requires additional child information may need to fill out this form.

Q: What is the purpose of Form LDSS-5143B?
A: The purpose of this form is to gather additional information about a child for the application process in New York.

Q: Is Form LDSS-5143B specific to New York?
A: Yes, this form is specific to applications in New York and may not be applicable in other states.

Q: Are there any fees associated with Form LDSS-5143B?
A: No, there are no fees associated with submitting Form LDSS-5143B.

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Form Details:

  • Released on February 1, 2021;
  • 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 fillable version of Form LDSS-5143B 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-5143B Additional Child Information (Application) - New York

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  • Form LDSS-5143B Additional Child Information (Application) - New York, Page 1
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