LDSS-4443 (Rev. 05/2023) FRONT Month: NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES CHILD CARE ATTENDANCE SHEET Facility: Year: Program Name: INSTRUCTIONS: Actual times in and out must be recorded in the spaces below. Check box if child is absent. If child was a no show, check to indicate parent was contacted. Daily health

DOH-4443 (4/10) Signature Total Gross Monthly Income Please check the box in front of any item listed in the “Monthly Living Expenses” column for expenses you have and give the monthly amount spent on each item. Explain how you pay for each of …

To order hard copies of available OCFS forms and publications, submit form OCFS-4627: Request for Forms and Publications to: OCFS Forms and Publications Unit 52 Washington Street Room 134 North Bldg. Rensselaer, NY 12144-2834. …

DOH 4443 - Standardized Financial Maintenance Requirements for Medicaid Applicants-Recipients Form File DOH-4443 - Standardized Financial Maintenance Requirements for Medicaid Applicants-Recipients Form.2.0.pdf

View, download and print Ldss-4443 - Child Care Attendance Sheet - New York Ocfs pdf template or form online. 16 Ocfs Forms And Templates are collected for any of your needs.

LDSS-4443 (5/2014) FRONT NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES CHILD CARE ATTENDANCE SHEET Month: Year: Program Name: INSTRUCTIONS: Actual times in and out must be recorded in the spaces below. Check box if child is absent. Daily health care check must be checked after conducted. If there are health care concerns, notes

2024年5月13日 · The IRS employee who issued the summons is responsible for the preparation of all requests for civil enforcement of summonses. Use either the memorandum report format or Form 4443, Summons Referral, depending upon procedures used by your BOD.