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Get the free DSS-5279. Request for Revocation of a Foster Home License

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REQUEST FOR REVOCATION OF A FOSTER HOME LICENSE Supervising Agency: County Department of Social Services (Name): ___ Private Childbearing Agency (Name): ___ Foster Home Name of Foster Parents: ___ Mailing
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How to fill out dss-5279 request for revocation

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How to fill out dss-5279 request for revocation

01
Step 1: Obtain a copy of the DSS-5279 form from the Division of Social Services.
02
Step 2: Fill in your personal information, including name, address, social security number, and any other required details.
03
Step 3: Clearly state the reason for revocation of your request on the form.
04
Step 4: Sign and date the form before submitting it to the appropriate agency or individual.

Who needs dss-5279 request for revocation?

01
Individuals who have previously requested a service or benefit from the Division of Social Services and now wish to revoke that request.
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The dss-5279 request for revocation is a form used to request the revocation of a security clearance.
Individuals who hold a security clearance and wish to have it revoked are required to file the dss-5279 request for revocation.
The dss-5279 request for revocation form can typically be filled out online or submitted through the appropriate security clearance office. It requires information about the individual's current clearance, reasons for revocation, and any supporting documentation.
The purpose of the dss-5279 request for revocation is to formally request the revocation of a security clearance.
Information such as the individual's clearance status, reasons for requesting revocation, and any relevant documentation must be reported on the dss-5279 request for revocation.
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