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SELF DECLARATION OF INCOME - Suffolk County
NEW YORK STATE DEPARTMENT OF HEALTH Office of Health Insurance Programs Self-Declaration of Income Name: App. Reg/Case #: Social Security Number: XXX-XX-Address: STREET CITY STATE ZIP CODE
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COUNTY OF SUFFOLK
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www.suffolkcountyny.gov1 Suffolk County Child Support Enforcement Bureau Where is………?? THE SUFFOLK COUNTY CHILD SUPPORT ENFORCEMENT BUREAU Location: 3455 Veterans Memorial Highway, Ronkonkoma, NY 11779
APPLICATION FOR BUILDING/DEMOLITION PERMIT
www.suffolkcountyny.govThe Building Permit Process for Agencies/ Departments Outside DPW BDC/Facilities Suffolk County Department of Public Works Buildings Design & Construction, Building Permits Group
Suffolk County Department of Social Services FCSA …
www.suffolkcountyny.govwww.suffolkcountyny.gov/departments/socialservices P.O. BOX 18100 HAUPPAUGE, NY 11788-8900 CCB-6010-004 (Rev. 08/2016) Child Care Unit Fax #: (631) 854-3331 Confidential Inquiry on Employment
Suffolk County Department of Social Services FCSA …
www.suffolkcountyny.govSuffolk County Department of Social Services FCSA Child Care Bureau Child Care Subsidy Application, Instructions & Forms List IMPORTANT: If you are receiving Temporary Assistance (i.e. Temporary Assistance for Needy Families (TANF) or Safety Net Family Assistance
CHILD CARE SUBSIDY DOCUMENTATION …
www.suffolkcountyny.govELIGIBILITY- SPECIAL NEEDS CHILD you must prove your child has special needs To prove this factor, provide ONE (1) of the following:
SUFFOLK COUNTY DEPARTMENT OF SOCIAL …
www.suffolkcountyny.govsuffolk county department of social services shelter supplement application 3sco 2395 rev. 3/24/05 case name: case number: conditions and eligibility requirements
Community Resource List - Suffolk County
www.suffolkcountyny.govCommunity Resource List Riverhead Center 893 East Main Street Riverhead, NY 11901 Updated: June 2017 Steven Bellone, John F. O’Neill, Commissioner
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