
NY OCFS-4659 2014-2025 free printable template
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OCFS-4659 Rev. 6/2014 NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES WAIVER FOR SUBMISSION OF A DUPLICATE FINGERPRINT CARD Please Print Clearly or Type Information 1. Last Name 2. First Name 3. M. I. 5. Date of Birth 4. Sex Female Male Month Day Year 6. Alias or Maiden Name 7. Street Address 8. Check here if this is a new address 9. City/State Address 10. Zip Code 11. New Facility/Provider ID 16. Additional Information Current Role Check One D T J TR HM F D- Director/Site Operator T-...
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How to fill out ocfs waiver submission fingerprint form

How to fill out NY OCFS-4659
01
Begin by downloading the NY OCFS-4659 form from the official website or obtaining a physical copy.
02
Fill in the 'Name of Child' section with the child's full name.
03
Complete the 'Date of Birth' field with the child's date of birth in the specified format.
04
Provide the 'Name of Parent/Guardian' including first and last names.
05
Fill out the 'Address' section with the complete residential address of the child.
06
Enter the 'Date of Request' indicating when you are filling out the form.
07
Sign and date the form at the bottom to confirm the information is accurate.
08
Submit the completed form as instructed, either electronically or via mail.
Who needs NY OCFS-4659?
01
The NY OCFS-4659 form is needed by parents or guardians of children who are seeking child care assistance or are applying for programs through the New York Office of Children and Family Services.
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And you'll need to file most of the completed forms with the relevant government agency. Form I-9 (Employment Eligibility Verification) Form W-2 (Wage and Tax Statement) Form W-4 (Employee's Withholding Certificate) State Tax Withholding Forms. State New Hire Reporting.
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What is personal information form?
A personal information form is a form that can be used by businesses when they need to collect personal information (names, addresses, contact details, birth dates, gender, etc.).
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Here are some of the most important things to ask new employees when they fill out your employee information form: Full name. Contact information including email and phone. Address. Date of birth. Job title. Department and supervisor. Office contact information. Start date and salary.
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Your form should include some basic information, like the new hire's name, contact information, and emergency contact details, as well as some pertinent employment-related details, like their role, hire date, and pay rate.
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an individual's name, signature, address, phone number or date of birth. sensitive information. credit information. employee record information.
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Definitions of requisition form. an official form on which a request in made. synonyms: requisition. type of: form.
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What is NY OCFS-4659?
NY OCFS-4659 is a form used by the New York State Office of Children and Family Services to report suspected child abuse or maltreatment.
Who is required to file NY OCFS-4659?
Any individual who is a mandated reporter, such as teachers, doctors, or social workers, is required to file NY OCFS-4659 when they suspect child abuse or maltreatment.
How to fill out NY OCFS-4659?
To fill out NY OCFS-4659, you need to provide specific details about the suspected abuse, including the child's information, the nature of the allegations, and your own contact information as the reporter.
What is the purpose of NY OCFS-4659?
The purpose of NY OCFS-4659 is to ensure the timely reporting of suspected child abuse or maltreatment to protect children's welfare and facilitate investigations by authorities.
What information must be reported on NY OCFS-4659?
Information that must be reported on NY OCFS-4659 includes the child's name, age, address, details of the suspected abuse or maltreatment, and the reporter's information.
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