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NYC Office of Actuary NYC Department for the Aging
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Social Adult Day Care (SADC) Notification of Change Form

Use this form to report any changes to the Social Adult Day Care Registration Form filed with the Department for the Aging. Questions related to the Notification of Change Form may be sent to

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Social Adult Day Care Program Site Information
Social Adult Day Care Director Information
Corporate Structure/Ownership Information
Managed Long Term Care Company Information

Acknowledgement and Signature

  1. Registrant affirms that he/she is authorized by SADC to provide the information on this Notice of Change Form.
* I Agree.
* *

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