NC DSS-5189 2003 free printable template
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STATE OF NORTH CAROLINA COUNTY CONSENT TO ADOPTION BY PARENT WHO IS SPOUSE OF STEPPARENT (STEPPARENT ADOPTION) I, declare: 1. That I was born on the day of, and have a permanent address at ; 2. That
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How to fill out NC DSS-5189
How to fill out NC DSS-5189
01
Obtain the NC DSS-5189 form from the appropriate agency or website.
02
Start by filling out your personal information in the designated fields, including your name, address, and contact details.
03
Follow the instructions for providing details related to your financial situation, including income and expenses.
04
Include any required documentation that supports your claims or financial information.
05
Review all the information entered to ensure accuracy and completeness.
06
Sign and date the form at the designated area.
07
Submit the completed form to the appropriate department or agency as specified in the instructions.
Who needs NC DSS-5189?
01
Individuals applying for assistance or benefits from the North Carolina Division of Social Services may need the NC DSS-5189 form.
02
People who need to report changes in their financial situation or household composition.
03
Applicants seeking food assistance, Medicaid, or other welfare programs may also require this form.
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People Also Ask about
How do I adopt a stepchild in NC?
In North Carolina, a stepparent adoption may occur after the biological parent and the stepparent wishing to adopt have been married six months or longer. The other biological parent, known as the “noncustodial parent,” must consent to his/her parental rights being terminated for the adoption to occur.
What is the form for stepparent adoption in NC?
North Carolina Form DSS-5162 is the petition for adoption of a minor child by a stepparent. Stepparent adoption also requires the consent of the child's other parent who is not the stepparent's spouse.
How do I get my CPS records in North Carolina?
If you are requesting information as part of an open case involving CPS, please submit the DSS-5277-ia. Requests must be submitted on your agency letterhead. A fax cover page on letterhead is acceptable. North Carolina has a state-supervised, county-administered social services system.
How do I contact DSS in NC?
Call 1-800-662-7030 (English, Spanish).
How do I get my CPS records in NC?
You may obtain verification by calling 866-719-0141 or faxing a request to 252-789-5395.
Are CPS reports confidential in NC?
Moreover, the law requires that all information and records shared must be withheld from public inspection and maintained in a confidential manner. Any violation of these confidentiality requirements will be punishable as a Class 1 misdemeanor.
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What is NC DSS-5189?
NC DSS-5189 is a form used in North Carolina to report certain financial information to the Department of Social Services.
Who is required to file NC DSS-5189?
Individuals or entities who receive financial assistance or participate in related programs in North Carolina may be required to file NC DSS-5189.
How to fill out NC DSS-5189?
To fill out NC DSS-5189, provide accurate and complete financial information as specified in the form instructions and ensure all required signatures are included.
What is the purpose of NC DSS-5189?
The purpose of NC DSS-5189 is to collect relevant financial data from applicants and recipients to assess eligibility and determine benefit levels for social services.
What information must be reported on NC DSS-5189?
NC DSS-5189 requires reporting of income, assets, and any other financial resources that are pertinent to an individual's or household's eligibility for assistance.
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