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NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES. DIVISION OF SOCIAL SERVICES. CHILD PROTECTIVE SERVICES REPORT Form ...
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DSS 5104 is a form used to report information about individuals receiving benefits from the Department of Social Services.
Case managers and social workers are required to fill out and file DSS 5104 for their clients receiving benefits.
DSS 5104 should be filled out by providing accurate information about the individual receiving benefits, including their personal details and financial information.
The purpose of DSS 5104 is to ensure accurate reporting and documentation of individuals receiving benefits from the Department of Social Services.
Information such as personal details, household composition, income, and expenses of the individual receiving benefits must be reported on DSS 5104.
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