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Printable Form 943-A Jersey City New Jersey: What You Should Know

New Jersey Long-Term Care Ombudsman provides consumer assistance with information, complaints and general information regarding Long-term Care facilities and their services. If you need help, or have questions regarding your own Long-Term Care Facility, please call NJ State Ombudsman, or toll-free, 1-888 (Mon – Fri 8 a.m. to 4:30 p.m.) NJ-1040 Complaints | Complaints to the State. NJ-1060 Consumers and Service Providers.  All consumer and service providers may report complaints, concerns or complaints to the New Jersey Long-Term Care Ombudsman. The ombudsman is also responsible for investigating complaints submitted to the Division of Health & Senior Services in response to rules of the Division and the State of New Jersey. Call the Ombudsman at the phone number specified on the form, or write to: New Jersey Long-Term Care Ombudsman P.O. Box 872 Trenton, NJ 08 Fee Assistance | Free Assistance for Consumers.   The Department of Banking, Insurance and Securities is the consumer rights agency of New Jersey. It enforces a wide variety of consumer protection statutes governing the lending and insurance industries. For information regarding this agency's consumer enforcement programs, contact your state agency(s) listed on the right-hand side of this page. Financial Assistance The Division of Health and Senior Services may provide financial assistance to consumers on a limited basis. This assistance may cover the cost of: · A temporary loan or advance, · An account with a revolving credit agreement, · A home loan, mortgage, or property. All financial assistance is contingent upon: · The consumer's continued compliance with the terms and conditions of the financial assistance agreement. · The consumer's continued payment of any financial obligations to the creditor at the time of the request for assistance. An application for financial assistance will be granted in writing, and the recipient will receive written confirmation of the grant. This assistance may be awarded to consumers without regard to any criteria beyond those set forth in the applicable statutes regarding financial assistance to low income consumers for long-term care facilities. Please contact your local Division of Health and Senior Services office for more information and assistance in accessing financial assistance. Fees & Related Topics  The State will charge a fee of up to 50 per case for the handling of your complaint.

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