DSS-2221A - New York State Office of Children and Family ...
LDSS-2221A (Rev. 09/2016) FRONT. NEW YORK STATE. ... OFFICE OF CHILDREN AND FAMILY SERVICES, FORMS AND PUBLICATIONS UNIT, 52 WASHINGTON ST. ROOM 134 NORTH, RENSSELAER, NY 12144-2834. ... education, medical or surgical care, though financially able to do so or offered financial or other reasonable means to do so; or. ................
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