LDSS-3371A. Notification of Social Service Law 424-a Procedures

Form LDSS-3371A is a NYS Office of Children and Family Services Form used to notify parties of Social Service Law 424-a Procedures.

This form consists of two parts. Part 1 includes information pertaining to the case name and number, the name of the requesting party, and the date of the request. Part 2 includes the name of the receiving party, the purpose of the request, a description of the services requested, the date of the request, and the date of the response. Additional sections or fields may be included in this form, such as a signature of the requesting party, the name and contact information of the person making the request, and the signature of the authorized representative of the receiving party.

Important fields in this form include the requesting party's name, the purpose of the request, the description of services requested, and the signature of the authorized representative of the receiving party. The accuracy and completeness of the form is important as it serves as the official record of the request and response.

This form would be used in a scenario where a requesting party is seeking services from a receiving party, as outlined in Social Service Law 424-a. Specific instructions and guidelines for completing the form are outlined in the instructions that accompany the form. The purpose of using this form is to provide a written record of the request and response, and to ensure that the services requested are provided in a timely manner.

Related forms and alternatives that may exist for similar transactions or purposes include the LDSS-3371B, which is a NYS Office of Children and Family Services Form used to notify parties of Social Service Law 424-b Procedures. Additional documents that may be needed to complete the form include supporting documentation of the request and the response.