Ldss 4439 Form PDF Details

Do you need to file an Ldss 4439 Form? The process of filing this particular form can be time-consuming, but it's important to complete it correctly in order to ensure the protection of your rights as a tenant. This blog post will provide an overview of what the Ldss 4439 Form entails, when and why landlords use it, and how tenants should go about filling out and submitting the form. With our guide, you'll have all the information you need to submit your form with confidence!

QuestionAnswer
Form NameLdss 4439 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesform ldss4439 form, ldss 4439 form, form ldss 4439, ocfs fire drill log

Form Preview Example

LDSS-4439 (5/2014) FRONT

NEW YORK STATE

OFFICE OF CHILDREN AND FAMILY SERVICES

RECORD OF EVACUATION DRILLS

CHILD DAY CARE PROGRAMS

Program Name:

 

License/Registration Number:

 

 

 

Address:

Evacuation drills must be conducted at least monthly. One drill during each shift of care. The exit route must be varied to ensure that all approved means of egress are practiced. All caregivers should be able to lead during an evacuation drill. This form or an approved equivalent must be used to document evacuation drills.

Date/Shift Drill Start Time

Starting

Attendance

Drill End

Time1

Ending

Attendance

Name of

caregiver

conducting drill

Exit Route Followed2

Comments

1Recommend Max 2-3 minutes to complete 2 Please specify: P=Primary, S=Secondary, O=Other

LDSS-4439 (5/2014) REVERSE

Date/Shift Drill Start Time

Starting

Attendance

Drill End

Time1

Ending

Attendance

Name of

caregiver

conducting drill

Exit Route Followed2

Comments

1Recommend Max 2-3 minutes to complete 2 Please specify: P=Primary, S=Secondary, O=Other