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.
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 Bengali. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is LDSS-5143B?
A: LDSS-5143B is an Additional Child Information Application form.
Q: Who needs to fill out LDSS-5143B?
A: Parents or legal guardians in New York who are applying for assistance programs for their children.
Q: What information is required in LDSS-5143B?
A: The form asks for information about the child's household, health, education, and any special needs or disabilities.
Q: What language is the LDSS-5143B available in?
A: LDSS-5143B is available in Bengali for residents of New York.
Q: Are there any fees for submitting LDSS-5143B?
A: No, there are no fees for submitting LDSS-5143B form.
Q: Is LDSS-5143B specific to New York?
A: Yes, LDSS-5143B is specific to New York and is used for applying for assistance programs in the state.
Form Details:
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.