NC DAAS-6218 1994-2025 free printable template
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Adult Services Intake/Inquiry Information Submit by Email Use for all adult services intakes except APS referrals. Client's Name: Date: If Assigned: Case#: ID#: Date of Birth: Type of Contact: Office
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How to fill out NC DAAS-6218
How to fill out NC DAAS-6218
01
Begin by downloading the NC DAAS-6218 form from the official website.
02
Fill in your personal information, including your name, address, and contact details in the designated fields.
03
Enter any required identifiers, such as Social Security Number or Medicaid Number, if applicable.
04
Provide information regarding the service or assistance you are applying for.
05
Review the eligibility requirements and check any boxes that confirm your qualifications.
06
Sign and date the form at the bottom to validate your application.
07
Submit the completed form to the appropriate agency by mail or in person.
Who needs NC DAAS-6218?
01
Individuals seeking assistance with aging or disability services in North Carolina.
02
Caregivers or family members of those requiring support services.
03
Anyone needing to apply for specific programs related to aging or disability.
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What is NC DAAS-6218?
NC DAAS-6218 is a form used in North Carolina for reporting specific data related to aging services and programs administered by the Division of Aging and Adult Services.
Who is required to file NC DAAS-6218?
Organizations and agencies that receive funding or provide services under programs administered by the North Carolina Division of Aging and Adult Services are required to file NC DAAS-6218.
How to fill out NC DAAS-6218?
To fill out NC DAAS-6218, complete all required sections with accurate data, ensuring to follow the provided instructions on the form. It is important to review and verify the information before submission.
What is the purpose of NC DAAS-6218?
The purpose of NC DAAS-6218 is to collect and report critical data to assess the effectiveness of aging services and to ensure compliance with state and federal regulations.
What information must be reported on NC DAAS-6218?
The information that must be reported on NC DAAS-6218 includes demographic data of services provided, funding sources, expenditures, and outcomes associated with aging services programs.
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