Form 4 Declaration of Un-reimbursed Medical and Pharmacy Expenses - New York City

What Is Form 4?

This is a legal form that was released by the New York City Department of Social Services - a government authority operating within New York City. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is a Form 4 Declaration of Un-reimbursed Medical and Pharmacy Expenses?
A: Form 4 Declaration of Un-reimbursed Medical and Pharmacy Expenses is a form used in New York City to declare medical and pharmacy expenses that have not been reimbursed.

Q: Who needs to fill out a Form 4 Declaration of Un-reimbursed Medical and Pharmacy Expenses?
A: Individuals who have un-reimbursed medical and pharmacy expenses in New York City may need to fill out this form.

Q: What expenses can be declared on Form 4?
A: Only medical and pharmacy expenses that have not been reimbursed by insurance or any other sources can be declared on Form 4.

Q: Do I need to attach any supporting documents with Form 4?
A: Yes, you need to attach copies of receipts or other relevant documents that prove the expenses.

Q: When is the deadline to submit Form 4?
A: The form must be submitted by April 15th of the year following the tax year in which the expenses were incurred.

Q: What happens after I submit Form 4?
A: The Department of Finance will review your form and may request additional documentation if necessary. They will determine the eligibility of your claimed expenses.

Q: Are the expenses declared on Form 4 tax-deductible?
A: Yes, if your expenses meet the eligibility criteria, they can be claimed as deductions on your income tax return.

Q: Can I claim expenses for my dependents on Form 4?
A: Yes, you can include eligible medical and pharmacy expenses for yourself, your spouse, and your dependents on the form.

Q: What should I do if I have questions or need assistance with Form 4?
A: You can contact the Department of Finance directly for any questions or assistance regarding Form 4.