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.
Q: What is Form LDSS-3174?
A: Form LDSS-3174 is a recertification form for certain benefits and services in New York State.
Q: Who needs to fill out this form?
A: Individuals in New York State who are receiving certain benefits and services need to fill out Form LDSS-3174 for recertification.
Q: What is the purpose of this form?
A: The purpose of this form is to recertify the eligibility of individuals for certain benefits and services in New York State.
Q: Is this form available in multiple languages?
A: Yes, this form is available in multiple languages, including Polish for the state of New York.
Form Details:
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.