Form LDSS-3174 Recertification Form for Certain Benefits and Services - New York (Haitian Creole)

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Instructions for Form LDSS-3174 New York State Recertification Form for Certain Benefits and Services - 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. Check the official instructions before completing and submitting the form.

Form Details:

• Released on July 1, 2020;
• 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;

Download a printable version of Form LDSS-3174 by clicking the link below or browse more documents and templates provided by the New York State Office of Temporary and Disability Assistance.