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 Haitian Creole. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the LDSS-5143B form?
A: The LDSS-5143B form is the Additional Child Information (Application) form.
Q: Which state is the LDSS-5143B form used in?
A: The LDSS-5143B form is used in New York.
Q: What is the purpose of the LDSS-5143B form?
A: The purpose of the LDSS-5143B form is to gather additional information about a child.
Q: Is the LDSS-5143B form available in Haitian Creole?
A: Yes, the LDSS-5143B form is available in Haitian Creole.
Q: Who should fill out the LDSS-5143B form?
A: The LDSS-5143B form should be filled out by parents or guardians of a child.
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.