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 Them State Paragraph Numbers from the Complaint or Explain below or on Form 2014

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Language Access Complaint Form New York State’s language access policy requires certain public-facing agencies to offer interpretation services in any language and to translate important documents into at least the top twelve most common non-English languages in the state. If you have had trouble with our agency’s language access services, you may complete and submit this complaint form using the contact information provided above. All personal information in your complaint will be kept confidential. One, complainant. First name. Last name. Zip code. I prefer not to provide my name. Please note, if you do not provide any contact information, we will not be able to inform you of the steps we are taking to respond to your complaint. Preferred languages. Phone number. E-mail address. Is someone else helping you file this complaint? No or Yes? If ‘Yes,’ include their contact information. First name. Last name. E-mail address and or phone number. Two, what languages did you need ser

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