LDSS-3806. Notice to be Given Applicants for or Recipients of Services When Requesting Social Security Numbers

Form LDSS-3806 is a Notice to be Given Applicants for or Recipients of Services When Requesting Social Security Numbers. This form is used when an applicant or recipient of services needs to provide their Social Security Number (SSN) for identification purposes. The form is used to ensure that the applicant is aware of their rights and obligations when providing the SSN and that the applicant is aware of the consequences if the SSN is not provided.

The form consists of a brief statement informing the applicant or recipient of services that they must provide their SSN in order to receive services. It also includes a statement informing the applicant or recipient of their rights, including the right to refuse to provide the SSN, and the consequences of refusal. The form also includes fields for the applicant or recipient of services to provide their name, address, date of birth, and SSN.

Important fields in this form include the applicant or recipient's name, address, date of birth, and SSN. It is important to accurately complete the form, as it is used to identify the applicant or recipient of services and is necessary for the services to be provided. Additionally, it is important to follow the instructions provided on the form and to provide all information requested.

An example of when this form would be used is when an applicant or recipient of services needs to apply for or receive services from the New York State Office of Children and Family Services. The form must be completed as accurately as possible in order for the applicant or recipient of services to be identified and for the services to be provided. The form is also used to ensure that the applicant or recipient of services is aware of their rights and obligations when providing the SSN.

Instructions for filling out the form include providing the applicant or recipient of services' name, address, date of birth, and SSN. In addition, the applicant or recipient of services must be aware of their rights and obligations when providing the SSN, and the consequences of refusal to provide the SSN. The form also requires the signature of the applicant or recipient of services.

Related forms and alternatives to this form include the Social Security Statement of Earnings, which is used to obtain a statement of earnings from the Social Security Administration, and the Social Security Card Application, which is used