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SFHF. If No Proceed to Part VI and check All County for room and board. DSS 5120 Rev. 11/2011 Child Welfare Services Section C. DETERMINATION OF FOSTER CARE ASSISTANCE BENEFITS AND/OR MEDICAL ASSISTANCE ONLY COUNTY DEPARTMENT OF SOCIAL SERVICES PART I CHILD INFORMATION completed by Social Worker A. 1. CHILD S NAME B. Date DSS obtained Placement and Care Responsibility Date of Removal C. 1. PLACE OF BIRTH DOB 2. METHOD OF VERIFICATION copy of birth certificate is required but parent s...

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What is dss 5120?

DSS 5120 stands for Defense Security Service Form 5120. It is a form used for reporting foreign ownership, control, or influence (FOCI) in a cleared defense contractor.

Who is required to file dss 5120?

Any cleared defense contractor who has foreign ownership, control, or influence (FOCI) must file DSS 5120.

How to fill out dss 5120?

DSS 5120 can be filled out by providing the necessary information about the foreign ownership, control, or influence (FOCI) within the cleared defense contractor. The form can be obtained from the Defense Security Service (DSS) website.

What is the purpose of dss 5120?

The purpose of DSS 5120 is to identify and assess any potential risks associated with foreign ownership, control, or influence (FOCI) in cleared defense contractors. It helps the Defense Security Service (DSS) in determining the level of security clearance to grant or maintain for these contractors.

What information must be reported on dss 5120?

DSS 5120 requires the reporting of detailed information about the foreign ownership, control, or influence (FOCI) in cleared defense contractors. This includes disclosing the names of all foreign owners, board members, and any significant foreign contracts or transactions.

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