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Get the free COUNTY OPTIONS CHANGE REQUEST FORM (COCR) - ncdhhs

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The COCR form is used to maintain a current directory of administrative, supervisory and HCC staff and to communicate changes to the State Program regarding HCC positions.
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How to fill out county options change request

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How to fill out COUNTY OPTIONS CHANGE REQUEST FORM (COCR)

01
Obtain the COUNTY OPTIONS CHANGE REQUEST FORM (COCR) from your local agency or website.
02
Read the instructions carefully before filling out the form.
03
Provide your personal information in the designated fields, including your name, address, and contact details.
04
Indicate the county that you are requesting a change from and the county you wish to move to.
05
Specify the reason for the change request in the appropriate section.
06
Review the form for accuracy and completeness.
07
Sign and date the form at the end.
08
Submit the completed form to the appropriate agency or office as instructed.

Who needs COUNTY OPTIONS CHANGE REQUEST FORM (COCR)?

01
Individuals who are receiving benefits and wish to change their county of residence.
02
Clients currently enrolled in social services programs that require a county-specific application.
03
People seeking to transfer their case management to a different county for personal or logistical reasons.
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The COUNTY OPTIONS CHANGE REQUEST FORM (COCR) is a document used by counties to request changes to their administrative structure or program options concerning state-funded services.
County officials or designated representatives responsible for implementing programs that are funded by state resources are required to file the COUNTY OPTIONS CHANGE REQUEST FORM (COCR).
To fill out the COUNTY OPTIONS CHANGE REQUEST FORM (COCR), individuals should provide accurate information regarding the proposed changes, including details on the program, justifications for the request, and any relevant data or documentation that supports the change.
The purpose of the COUNTY OPTIONS CHANGE REQUEST FORM (COCR) is to enable counties to formally propose and document changes to their service options, ensuring compliance with state regulations and facilitating administrative adjustments.
The information that must be reported on the COUNTY OPTIONS CHANGE REQUEST FORM (COCR) includes the county name, contact information, description of the proposed changes, rationale for the request, and any supporting data or evidence related to the change.
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