OCFS-3378. Report of Legal Blindness/Data Change

Form OCFS-3378 - Report of Legal Blindness/Data Change is used to report any changes in the legal blindness status of an individual. This form is completed by the individual or their legal representative and submitted to the NYS Office of Children and Family Services.

The parties involved in this form are the individual or their legal representative who is submitting the form and the NYS Office of Children and Family Services who is receiving the form. The form consists of various sections which includes the individual’s personal information, legal blindness status, and contact information. The form also includes a section for the individual or legal representative to provide a detailed explanation of the legal blindness change.

The important fields in this form include the individual’s name, date of birth, address, and legal blindness status. The individual or legal representative must provide accurate information and explanation of the legal blindness change in order for the form to be accepted by the NYS Office of Children and Family Services. The form must be signed by the individual or legal representative and submitted to the NYS Office of Children and Family Services.

This form would be used in a situation where an individual’s legal blindness status has changed, for example, if the individual has just been diagnosed as legally blind or if the individual’s legal blindness status has been reversed. The purpose of this form is to ensure that the NYS Office of Children and Family Services is aware of any changes in the individual’s legal blindness status so that they can make any necessary changes to the individual’s records.

In addition to this form, the individual or legal representative must provide supporting documentation from a medical professional in order to provide evidence of the legal blindness change. There are no alternative forms for reporting a change in an individual’s legal blindness status.