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LDSS-2521 (Rev. 3/04) FOR AGENCY USE ONLY NAME OF REFERRING OFFICIAL TELEPHONE NO. APPLICATION FOR CHILD SUPPORT SERVICES NYS OFFICE OF TEMPORARY AND DISABILITY ASSISTANCE UNIT DATE OF REFERRAL A
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Gather all necessary information and documentation, including personal identification, financial records, and any relevant supporting documents.
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Provide details about your household composition, including the names, ages, and relationships of all individuals living with you.
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Who needs ldss 2521 form:

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Individuals or households who are applying for or receiving public assistance benefits, such as SNAP (Supplemental Nutrition Assistance Program) or Temporary Assistance for Needy Families (TANF).
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Individuals applying for or in need of assistance with emergency shelter or housing services, such as Home Energy Assistance Program (HEAP) or Emergency Assistance to Families (EAF).
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The ldss 2521 form is a document used by the New York State Office of Children and Family Services (OCFS) to collect information about child abuse and neglect reports.
Mandated reporters, such as certain professionals and individuals who come into contact with children during their work, are required to file the ldss 2521 form when they suspect child abuse or neglect.
To fill out the ldss 2521 form, you need to provide detailed information about the alleged child abuse or neglect, including the child's and family's information, nature of the incident, and your own observations or evidence. The form should be completed thoroughly and accurately, following the provided instructions.
The purpose of the ldss 2521 form is to ensure that suspected child abuse or neglect cases are reported to the appropriate authorities, allowing for an investigation and potential intervention to protect the child's welfare.
The ldss 2521 form requires the reporting of various information, including the names and ages of the involved children, their parents or guardians, the nature of the alleged abuse or neglect, any supporting evidence or witnesses, and the reporter's contact information. The form may also request additional contextual details relevant to the incident.
The deadline to file the ldss 2521 form in 2023 may vary depending on the specific requirements set by the New York State OCFS. It is advisable to consult the official guidelines or contact the relevant authorities for the most accurate deadline information.
The penalties for the late filing of the ldss 2521 form can vary. It is important to comply with the specified deadlines to ensure timely reporting of suspected child abuse or neglect. Failure to meet the deadline may result in administrative consequences, such as warnings, fines, or disciplinary actions, depending on the jurisdiction and circumstances involved.
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