OCFS-LDSS-4782. Notice of Intent to Discontinue Child Care Benefits (Sample Only)

Form OCFS-LDSS-4782, "Notice of Intent to Discontinue Child Care Benefits," is employed by the New York State Office of Children and Family Services to inform a recipient that their child care benefits are slated for discontinuation. This form serves as a notification to recipients that their circumstances no longer meet the eligibility criteria for receiving child care benefits, necessitating the discontinuation of these benefits.

The form typically comprises sections outlining the reason for discontinuation, the effective date, and any relevant instructions or actions required from the recipient. It is crucial for the recipient to carefully read and understand the content of the notice to avoid any misunderstandings.

Important fields in this form include the recipient's personal details, case number, and the rationale for discontinuation. Accurate completion of these fields is essential to ensure proper identification and accurate communication of the reason for discontinuation.

Application Example: A family that experienced an increase in income might receive this form, indicating that their child care benefits are being discontinued due to their improved financial situation. The family should review the notice, confirm the provided information, and assess their eligibility for other assistance programs. Adhering to the instructions and responding promptly can help avoid confusion and ensure a smooth transition.

Alternative form: Form OCFS-LDSS-4781, "Notice of Intent to Change Child Care Benefits and Family Share Payments," is an alternative that informs recipients of upcoming changes in their child care benefits. While OCFS-LDSS-4781 focuses on changes, OCFS-LDSS-4782 pertains to discontinuation due to eligibility changes.