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 Form OTDA4987-HA?
A: Form OTDA4987-HA is a complaint form.
Q: What does the form provide access to?
A: The form provides access to services in Haitian Creole language.
Q: What is the purpose of the form?
A: The purpose of the form is to file a complaint regarding access to services in Haitian Creole language.
Q: Who can use the form?
A: Anyone in New York who wants to file a complaint regarding access to services in Haitian Creole language can use the form.
Form Details:
Download a printable version of Form OTDA4987-HA by clicking the link below or browse more documents and templates provided by the New York State Office of Temporary and Disability Assistance.