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Ldss 5143-2026

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The document LDSS-5143 (Rev. 08/19) is an application form for Child Support Services in New York State, aimed at assisting parents and guardians in securing financial and medical support for children under 21. It outlines the application process, eligibility criteria, definitions of key terms, confidentiality safeguards, available services, child support obligations, and necessary documentation. The form also addresses safety concerns for applicants and provides information on legal services related to child support.

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Click ‘Get Form’ to open the ldss 5143 in the editor.
Begin by reviewing the Important Information about Child Support Services on pages 1-4. This will provide essential context for completing the application.
Complete Part A – Application (pages A-1 through A-4). Ensure you fill in your personal information accurately, including your name, contact details, and safety concerns.
Proceed to Part B – Child Information (pages B-1 through B-2) for each child involved. You can add up to two children; if there are more, use the Additional Child Information form.
Finally, review Part C – Supporting Documentation (page C-1) and attach copies of all relevant documents as required. This step is crucial for processing your application.

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ldss 5143

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