Language Access Complaint Form - New York (Haitian Creole)

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Language Access Complaint Form - New York (Haitian Creole)

This is a legal document that was released by the New York State Department of Health - a government authority operating within New York.

The document is provided in Haitian Creole.

FAQ

Q: What is the Language Access Complaint Form?
A: The Language Access Complaint Form is a form used to file a complaint regarding language access services.

Q: Who can use the Language Access Complaint Form?
A: Anyone who has experienced a language access issue in New York and speaks Haitian Creole can use the form.

Q: What is the purpose of the Language Access Complaint Form?
A: The purpose of the form is to report and address any language access problems or barriers faced by individuals who speak Haitian Creole.

Q: What information is required on the Language Access Complaint Form?
A: The form asks for details about the language access issue, personal information of the complainant, and any supporting documents or evidence.

Q: Is there a deadline for submitting the Language Access Complaint Form?
A: The form should be submitted as soon as possible after the language access issue occurs, but there is no specific deadline mentioned.

Q: What will happen after I submit the Language Access Complaint Form?
A: The agency responsible for language access services will review the complaint and take appropriate action to address the issue.

Q: Are there any fees associated with filing a Language Access Complaint Form?
A: No, there are no fees associated with filing a complaint using the Language Access Complaint Form.

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Form Details:

  • Released on January 1, 2021;
  • The latest edition currently provided by the New York State Department of Health;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New York State Department of Health.

Download Language Access Complaint Form - New York (Haitian Creole)

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