Form OCFS-6004 Staff, Volunteer, and Household Member Medical Statement - New York

Form OCFS-6004 Staff, Volunteer, and Household Member Medical Statement - New York

What Is Form OCFS-6004?

This is a legal form that was released by the New York State Office of Children and Family Services - 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 the purpose of the OCFS-6004 form?
A: The OCFS-6004 form is used to collect medical information for staff, volunteers, and household members in New York.

Q: Who needs to complete the OCFS-6004 form?
A: Staff, volunteers, and household members in New York need to complete the OCFS-6004 form.

Q: What information is collected on the OCFS-6004 form?
A: The OCFS-6004 form collects medical information such as basic personal information, medical history, immunization records, and any current medical conditions.

Q: Is the OCFS-6004 form mandatory?
A: Yes, for staff, volunteers, and household members in New York, completing the OCFS-6004 form is mandatory.

Q: How often should the OCFS-6004 form be updated?
A: The OCFS-6004 form should be updated whenever there are changes in the individual's medical condition or immunization status.

Q: Who should I contact if I have questions about the OCFS-6004 form?
A: If you have questions about the OCFS-6004 form, you can contact the New York Office of Children and Family Services (OCFS) for assistance.

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Form Details:

  • Released on August 1, 2019;
  • The latest edition provided by the New York State Office of Children and Family Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form OCFS-6004 by clicking the link below or browse more documents and templates provided by the New York State Office of Children and Family Services.

Download Form OCFS-6004 Staff, Volunteer, and Household Member Medical Statement - New York

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