LDSS-4783-HC - KONTRIBISYON PEMAN FANMI KI ANRETA POU BENEFIS GADRI Delinquent Family Share for Child Care Benefits (Sample Only)

Office of Children and Family Services

This government document is issued by Office of Children and Family Services for use in New York

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File Details: DOCX (29.3 KB)
Source
https://ocfs.ny.gov/forms/ldss/LDSS-4783/OCFS-LDSS-4783-HC-Sample.docx

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