LDSS-2855. Personal Allowance Summary

Form LDSS-2855 - Personal Allowance Summary is a form used by the New York State Office of Children and Family Services to provide a summary of an individual’s personal allowance payments. It is typically used to document and track any payments made to a person for the purposes of a personal allowance.

The form contains several sections. The first is a summary of the individual’s name, address, and current payment amount. This section also includes a checkbox to indicate whether the allowance is for a one-time or recurring payment. The second section is a breakdown of the amounts received for the allowance payments for the current year, with the total amount listed at the end. The third section is a list of payments made in the previous year. The fourth section is a summary of the total payments received over all years. The fifth section contains a signature line for the individual to sign and date the form.

Important fields in this form include the individual’s name, address, and the amount of the allowance payments. These fields are important because they provide the Office of Children and Family Services with accurate and up-to-date information about the individual’s allowance payments. It is also important that the individual accurately complete the form and sign and date it in order for the office to verify the payment information.

An example of when this form would be used is when an individual applies for a personal allowance from the Office of Children and Family Services. The individual must provide the office with a completed LDSS-2855 form in order to receive the allowance payments. Specific instructions for completing the form may vary depending on the individual’s circumstances. The form is beneficial because it helps to document and track payments made to the individual for the purposes of a personal allowance.

Related forms that may exist for similar transactions or purposes include the LDSS-2854 Personal Allowance Schedule, which documents all personal allowance payments made in a given year, and the LDSS-2853 Personal Allowance Payment Summary, which summarizes all personal allowance payments made over all years. Additional documents that may be required for completing and filling out the form include proof of identity and proof of income.