This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.
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 Polish.
Q: What is the Language Access Complaint Form?
A: The Language Access Complaint Form is a form for reporting issues related to language access services in New York.
Q: Who can file a complaint using this form?
A: Anyone who believes that they have been denied appropriate language access services can file a complaint using this form.
Q: What is the purpose of the form?
A: The form is used to report violations and seek resolution regarding language access services in New York.
Q: What information is required in the complaint form?
A: The complaint form requires detailed information about the incident, as well as contact information of the complainant.
Q: Is there a deadline to submit the complaint?
A: Yes, complaints must be filed within 365 days of the alleged violation.
Q: What happens after the complaint is submitted?
A: Once the complaint is received, it will be reviewed and investigated by the language access agency.
Form Details:
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