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Follow the steps to complete your Ldss 4148b form online.

  1. Use the ‘Get Form’ button to obtain the Ldss 4148b form and access it in your preferred online editing tool.
  2. Start with Section 1, which requires your personal information. Enter your full legal name, including your first, middle initial (if applicable), and last name clearly.
  3. In Section 2, provide your contact information. This includes your primary phone number and alternative phone number for communication purposes.
  4. Complete Section 3 with your current residential address, ensuring to include the street name, city, state, and ZIP code accurately.
  5. In Section 4, indicate the names and details of any other household members living with you, even if they are not applying for assistance. This helps in assessing your eligibility.
  6. Proceed to Section 5, where you need to disclose your income information. Report all sources of income for yourself and other household members.
  7. Fill out Section 6 regarding your assets. List all valuable possessions, including bank accounts and property.
  8. In Section 7, answer all questions thoroughly, including any that require documentation to verify your claims.
  9. After completing the form, review all sections for accuracy and completeness. Ensure that each entry is clear and filled correctly.
  10. Finally, save your changes, and download or print the form for your records. You can share or submit it as required.

Complete your Ldss 4148b form online today to take the next step towards receiving the necessary assistance.

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You must first exhaust any sick leave benefits. After a seven-calendar-day waiting period, you receive 50 percent of your average salary for the eight weeks prior to disability, up to the maximum benefit established under the New York State Disability Benefits Law, currently $170 per week.

Voluntary Short Term Disability You can receive income replacement benefits for up to 26 weeks. An employee working at least 50 percent of full time on a regular appointment and whose annual salary is at least $15,000 is eligible to enroll in the plan.

LDSS-4148B (Rev. If you are blind or seriously visually impaired and need an application or these instructions in an alternative format, you may request them from your social services district.

Apply by phone: Call SSA at 1-800-772-1213 from 7 a.m. to 7 p.m. Monday through Friday. Apply in person: Visit your local Social Security office. (Call first to make an appointment.)

Disability benefits are temporary cash benefits paid to an eligible employee, when they are disabled by an off-the-job injury or illness. Disability benefits are equal to 50 percent of the employee's average weekly wage for the last eight weeks worked, with a maximum benefit of $170 per week (WCL §204).

New York employees can receive up to 26 weeks of paid short-term disability benefits per year. If you are injured or you become ill while not on the job, you may be eligible for New York State short-term disability benefits under its Disability Benefits Law (DBL).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232