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NC DSS5027 2006 free printable template

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NORTH CAROLINA DIVISION OF SOCIAL SERVICES SAMPLE ONLY NOT FOR USE SERVICES INFORMATION SYSTEM CLIENT ENTRY FORM A. Client Identifying Information 1 CLIENT ID 2 CLIENT NAME, LAST 4 DATE OF BIRTH 3
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How to fill out NC DSS5027

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How to fill out NC DSS5027

01
Obtain the NC DSS5027 form from the appropriate state agency website or office.
02
Read the instructions included with the form thoroughly before starting.
03
Fill in your personal information, including your name, address, and contact details in the designated fields.
04
Provide information regarding your household members, including their names, ages, and relationships to you.
05
Fill out questions related to your income sources, including employment details and any public assistance received.
06
Complete sections regarding any assets or resources you own, such as bank accounts, property, or vehicles.
07
Review the completed form for accuracy and completeness, ensuring all required fields are filled.
08
Sign and date the form at the bottom where indicated.
09
Submit the form as instructed, either by mail or through electronic submission if available.

Who needs NC DSS5027?

01
Individuals or families applying for assistance programs through the North Carolina Department of Social Services.
02
Persons seeking benefits such as food assistance, financial aid, or other social services.
03
New applicants or those needing to update their information regarding benefits.
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People Also Ask about

Child Protective Services Information G.S. 7B-302(a1) requires that all CPS information be held “in the strictest confidence.” The confidentiality requirement of this statute applies as soon as DSS receives a report of suspected child abuse, neglect, dependency, or death due to maltreatment.
For all other questions the DHHS Customer Service Center can assist in finding programs and people to help. Call 1-800-662-7030.
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.
Contact Us Toll-free within North Carolina: 1-877-5-NO-SCAM. From outside North Carolina: (919) 716-6000. En Espanol: (919) 716-0058.
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.
The family assessment of strengths and needs (FASN) is a tool designed to evaluate the presenting strengths and needs of the family of a child alleged or confirmed to have been a CA/N victim.

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NC DSS5027 is a form used in North Carolina for reporting certain financial information related to the Department of Social Services.
Individuals and organizations that manage funds or resources that are subject to the oversight of the North Carolina Department of Social Services are typically required to file NC DSS5027.
To fill out NC DSS5027, carefully follow the instructions provided on the form, ensuring all required fields are completed accurately with the necessary financial details.
The purpose of NC DSS5027 is to ensure transparency and accountability in the reporting of financial activities related to services governed by the North Carolina Department of Social Services.
Information that must be reported on NC DSS5027 includes details about funding sources, expenditure reports, and any other financial data required by the Department of Social Services.
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