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This version of the form is not currently in use and is provided for reference only. Download this version of
Form OTDA-4987-HA
for the current year.
Form OTDA-4987-HA Language Access Complaint Form - New York (Haitian Creole)
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.
FAQ
Q: What is Form OTDA-4987-HA?
A: Form OTDA-4987-HA is a Language Access Complaint Form used in New York for individuals who speak Haitian Creole.
Q: What is the purpose of Form OTDA-4987-HA?
A: The purpose of Form OTDA-4987-HA is to file a complaint regarding a lack of language access services in Haitian Creole.
Q: Who can use Form OTDA-4987-HA?
A: Any individual who speaks Haitian Creole and believes they have been denied language access services can use Form OTDA-4987-HA.
Q: How do I fill out Form OTDA-4987-HA?
A: You should provide your personal information, describe the incident, and explain how your languageaccess rights were violated.
Q: What should I do with the completed form?
A: After filling out Form OTDA-4987-HA, you should submit it to the designated address or office mentioned in the instructions.
Q: Is there a deadline for submitting Form OTDA-4987-HA?
A: Yes, there is usually a deadline for submitting the complaint, so it's important to check the instructions or contact the relevant office for the specific deadline.
Q: What will happen after I submit Form OTDA-4987-HA?
A: After receiving the complaint, the appropriate office will review your case and take necessary actions to address the language access issue.
Q: Is there a cost to file a Language Access Complaint using Form OTDA-4987-HA?
A: No, there is no cost associated with filing a Language Access Complaint using Form OTDA-4987-HA.
Q: Can I get assistance in filling out Form OTDA-4987-HA?
A: Yes, you can seek assistance from a local OTDA office or a legal service provider to help you fill out Form OTDA-4987-HA.
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;
- Quick to customize;
- Compatible with most PDF-viewing applications;
Download a printable version of Form OTDA-4987-HA by clicking the link below or browse more documents and templates provided by the New York State Office of Temporary and Disability Assistance.
