NC DSS-5238 2019-2025 free printable template
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DSS Referral Form for Early Intervention Services (CDs) (Referral must be completed and sent to Early Intervention Services within 72 hours of Substantiation or In Need of Services Finding) (Please
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How to fill out early intervention program referral
How to fill out NC DSS-5238
01
Obtain the NC DSS-5238 form from the official website or local office.
02
Fill in your personal information in the designated sections, including your name, address, and contact details.
03
Provide information about your household, including the names and relationships of all members.
04
Specify your income sources and amounts for each household member.
05
List any assets or resources you have, such as bank accounts or property.
06
Complete any additional sections relevant to your situation, such as special needs or medical expenses.
07
Review the form for completeness and accuracy.
08
Sign and date the form at the bottom.
09
Submit the form as instructed, either online, by mail, or in person.
Who needs NC DSS-5238?
01
Individuals or families applying for public assistance programs in North Carolina, such as food assistance or Medicaid.
02
Anyone seeking to report changes in circumstances that may affect their benefits.
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What is NC DSS-5238?
NC DSS-5238 is a form used by the North Carolina Department of Social Services to collect information regarding child support and other relevant family support services.
Who is required to file NC DSS-5238?
Individuals or entities involved in child support cases, including custodial and non-custodial parents, are generally required to file NC DSS-5238 as part of their legal obligations.
How to fill out NC DSS-5238?
To fill out NC DSS-5238, gather required information, complete the form with accurate details regarding the case, and submit it to the appropriate local agency or Department of Social Services.
What is the purpose of NC DSS-5238?
The purpose of NC DSS-5238 is to provide necessary information to help in the determination and enforcement of child support obligations.
What information must be reported on NC DSS-5238?
The information that must be reported on NC DSS-5238 includes personal information of involved parties, case details, income information, and any other relevant financial data related to child support.
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