Get the free DSS-6189 State Maternity Fund Residential Care Provider Agreement - info dhhs state nc
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NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF SOCIAL SERVICES STATE MATERNITY FUND RESIDENTIAL CARE PROVIDER AGREEMENT 1. This Agreement is entered into between (the agency providing
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How to fill out dss-6189 state maternity fund
How to fill out NC DSS-6189
01
Obtain the NC DSS-6189 form from the official website or local DSS office.
02
Fill in the participant's personal information, including name, address, and contact details.
03
Provide details regarding the participant's financial situation, including income and expenses.
04
Include information on any additional support or services the participant is currently receiving.
05
Sign and date the form to certify that the information provided is accurate.
06
Submit the completed form to the appropriate DSS office by mail or in person.
Who needs NC DSS-6189?
01
Individuals seeking assistance or benefits from the North Carolina Division of Social Services.
02
Families in need of financial support or resources from social service programs.
03
Applicants for specific programs that require documentation of their situations and needs.
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What is NC DSS-6189?
NC DSS-6189 is a form used by the North Carolina Department of Social Services to report specific information related to child support enforcement.
Who is required to file NC DSS-6189?
Individuals and agencies involved in the collection and enforcement of child support are required to file NC DSS-6189.
How to fill out NC DSS-6189?
To fill out NC DSS-6189, provide accurate information regarding the case, including details about the obligor, obligee, and any support payments collected.
What is the purpose of NC DSS-6189?
The purpose of NC DSS-6189 is to ensure accurate reporting and collection of child support payments to assist custodial parents and guardians.
What information must be reported on NC DSS-6189?
The information that must be reported includes case numbers, names of parties involved, payment amounts, and dates of payment.
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