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LDSS 3113 refers to a form titled "Application for Assistance" used by the New York State Office of Temporary and Disability Assistance (OTDA). It is a document that individuals can complete to apply for various programs and benefits, such as cash assistance, food stamps, and Medicaid. The form gathers personal information, household details, income and expenses, as well as other necessary information required for determining eligibility for assistance programs.

The person required to file LDSS 3113, also known as the Child Protective Services (CPS) Report, is any individual who has reasonable cause to suspect that a child is being abused or maltreated. This includes professionals in the fields of education, healthcare, childcare, law enforcement, mental health, and social services. Additionally, certain individuals who come into contact with children as part of their job or profession, such as coaches or summer camp staff, may also be required to file this report if they have reasonable cause to suspect abuse or maltreatment.

To fill out LDSS 3113 form, follow the steps below: 1. Download the LDSS 3113 form from the official website of your local Department of Social Services or similar agency. 2. Read the instructions carefully before filling out the form to understand the purpose and requirements. 3. Provide your personal information: - Enter your name, address, social security number, and contact details in the designated spaces. - If applicable, provide information about your household members, including their names, social security numbers, and relationship to you. 4. Provide detailed financial information: - Fill out the sections related to your income, including wages, self-employment, retirement benefits, and others as applicable. - Fill out the sections related to your expenses, including housing costs, utilities, medical expenses, and other necessary expenses. - Provide accurate and complete information to the best of your knowledge, as incorrect or missing information can delay the application process. 5. Complete other sections: - If you are applying for specific benefits or programs, fill out the sections related to those benefits accordingly, providing any necessary supporting documentation. - If you have any other relevant information or need to explain specific circumstances, use the designated spaces or attach additional sheets as needed. 6. Review and sign the form: - Go through the entire form thoroughly to ensure all the information provided is accurate and complete. - Sign and date the form at the designated section. If there are other household members, they may also need to sign the form. 7. Attach any required documents: - Review the instructions to determine if there are any supporting documents required to accompany the form, such as proof of income, expenses, residency, or identification. - Make copies of the required documents and attach them to the completed LDSS 3113 form. 8. Submit the form: - If instructed, mail or deliver the completed form and supporting documents to the appropriate address provided in the instructions. - If there is an online submission option, follow the instructions to submit the form electronically. Note: It is advisable to contact the appropriate agency or refer to their website for additional guidance or specific instructions related to the LDSS 3113 form in your jurisdiction.

LDSS 3113 refers to a specific form used by the New York State Office of Temporary and Disability Assistance. The purpose of LDSS 3113 is to provide a means for individuals or families to apply for various public assistance programs, such as Temporary Assistance (cash assistance), Supplemental Nutrition Assistance Program (SNAP), and Medicaid. It collects relevant information about the applicant's household, income, assets, and expenses, among other details, to determine eligibility for these assistance programs.

The LDSS-3113 form is used to report incidents of suspected child abuse or maltreatment in New York State. The information that must be reported includes: 1. Child Information: The form requires the child's full name, date of birth, gender, ethnicity, and current address. 2. Parent/Guardian Information: The names, addresses, and contact information of the child's parents or legal guardians. 3. Alleged Perpetrator Information: If known, the form asks for details about the person believed to be responsible for the reported abuse, including their name, address, relationship to the child, and contact information. 4. Incident Details: A brief description of the alleged abuse or maltreatment, including dates, times, and locations of incidents, if known. 5. Reporting Person Information: The form requires the name, address, and contact information of the person making the report, including their relationship to the child. 6. Source of Information: The form asks for details regarding how the reporter learned about the suspected abuse or maltreatment, whether it was observed directly or reported by someone else. 7. Actions Taken: If any previous actions or interventions have been taken regarding the alleged abuse, such as contacting law enforcement or child protective agencies, it should be documented on the form. 8. Other Pertinent Information: Any additional relevant information about the child, family, or the incident that may aid in the investigation or assessment. It is important to note that each state may have different requirements and forms for reporting child abuse or maltreatment. The information provided here specifically relates to the LDSS-3113 form used in New York State.

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