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REQUEST FOR DOCUMENTS OR PUBLICATIONS Please …

otda -876 (Rev. 08/17). REQUEST FOR DOCUMENTS OR PUBLICATIONS . Please Submit Requests: Delivery Address: (Complete Address). Social Service Districts May Also Order Online: http://formorders/. We recommend that you establish a re-order point to insure sufficient quantities are on hand to meet your needs. Please order DOCUMENTS in numerical sequence and specify quantities in number of forms NOT number of boxes. Allow 3 weeks for processing and shipping of your order. For Questions Please Contact: Address: NYS Office of Temporary and Disability Assistance Document Services Box 1990. Albany, 12201. Phone: 518-474-9522. QUANTITY QUANTITY. form NUMBER form TITLE REQUESTED SHIPPED.

OTDA-876 (Rev. 08/17) REQUEST FOR DOCUMENTS OR PUBLICATIONS Please Submit Requests: Forms.Orders@otda.ny.gov Social Service Districts May Also Order Online:

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Transcription of REQUEST FOR DOCUMENTS OR PUBLICATIONS Please …

1 otda -876 (Rev. 08/17). REQUEST FOR DOCUMENTS OR PUBLICATIONS . Please Submit Requests: Delivery Address: (Complete Address). Social Service Districts May Also Order Online: http://formorders/. We recommend that you establish a re-order point to insure sufficient quantities are on hand to meet your needs. Please order DOCUMENTS in numerical sequence and specify quantities in number of forms NOT number of boxes. Allow 3 weeks for processing and shipping of your order. For Questions Please Contact: Address: NYS Office of Temporary and Disability Assistance Document Services Box 1990. Albany, 12201. Phone: 518-474-9522. QUANTITY QUANTITY. form NUMBER form TITLE REQUESTED SHIPPED.

2 (Number of (Number of Forms) Forms). Agency Submitting REQUEST : Name of Person Submitting REQUEST : Phone Number: Date Submitted: E-mail Address (Required): Shaded Area to be completed by Document Services staff Cost Center Code Date Filled: Filled by


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