PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form OTDA-4987
for the current year.
Form OTDA-4987 Language Access Complaint Form - New York
What Is Form OTDA-4987?
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. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the Form OTDA-4987?
A: The Form OTDA-4987 is a Language Access Complaint Form.
Q: Who is the form intended for?
A: The form is intended for individuals who wish to file a language access complaint in New York.
Q: What is the purpose of the form?
A: The purpose of the form is to file a complaint regarding language access services or lack thereof.
Q: How should I submit the form?
A: The form can be submitted via mail or email to the designated address or email provided on the form.
Form Details:
- Released on July 1, 2021;
- The latest edition provided by the New York State Office of Temporary and Disability Assistance;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form OTDA-4987 by clicking the link below or browse more documents and templates provided by the New York State Office of Temporary and Disability Assistance.
