Form OTDA-4987-PO Language Access Complaint Form - New York (Polish)

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 Polish. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form OTDA-4987-PO?
A: Form OTDA-4987-PO is a Language Access Complaint Form.

Q: What is the purpose of Form OTDA-4987-PO?
A: The purpose of Form OTDA-4987-PO is to file a complaint regarding language access issues in New York.

Q: Who can use Form OTDA-4987-PO?
A: The form can be filled out by individuals who have experienced language access problems while receiving services in New York.

Q: What language is the form available in?
A: The form is available in Polish for the convenience of Polish-speaking individuals.

Q: What should I do after filling out the form?
A: After completing the form, you should submit it to the relevant New York agency as instructed.

Q: What happens after I submit the form?
A: Once your complaint is received, it will be reviewed and investigated by the relevant authorities.

Q: Is there a deadline for submitting the form?
A: The form should be submitted within 180 days from the date of the incident.

Q: Can I file a complaint anonymously?
A: Yes, you have the option to remain anonymous when filing a language access complaint using Form OTDA-4987-PO.

Q: What if I need assistance in filling out the form?
A: If you require assistance in completing the form, you may seek help from a language access coordinator or another designated individual at the relevant agency.