NC DSS-5229 2009 free printable template

NORTH CAROLINA FAMILY ASSESSMENT OF STRENGTHS AND NEEDS Case Name: Case #: Date County Name: Date Report Received: Social Worker Name: Enter Initial or Reassessment #: 1 2 3 4 5: Children: Caretaker(s):

How to fill out NC DSS-5229

How to fill out NC DSS-5229

1. Begin by downloading the NC DSS-5229 form from the official website.
2. Fill out the applicant's full name in the appropriate section.
3. Provide the applicant's social security number and date of birth.
4. Fill in the address where the applicant currently resides.
5. Indicate the household members, including their names and relationships to the applicant.
6. Report the income sources and amounts for all household members.
7. Attach any required documentation, such as proof of income or identity.
8. Review the form for accuracy and completeness before submission.
9. Submit the form to the appropriate county department or office.

Who needs NC DSS-5229?

1. Individuals applying for public assistance programs in North Carolina.
2. Families looking to enroll in benefits related to food assistance or health care.
3. Anyone seeking financial aid from the Department of Social Services.

People Also Ask about

What is a family needs assessment?

The Family Needs Assessment (FNA) is a tool to obtain information for determining levels of support. It is critical that Family choice, interests and strengths be considered in planning, thereby allowing an alignment of resources with needs.

What is a strengths and needs assessment?

A Strengths and Needs Assessment tool is used to evaluate the presenting strengths and needs of each family and helps plan effective service interventions. The tool identifies priority strengths and needs of caregivers and children to inform service plan development.

What is the family assessment of needs and strengths?

The FANS is used to identify and prioritize family needs and strengths that must be addressed in the Parent-Agency Treatment Plan and Services Agreement; see FOM 722-08D, Treatment Plans. Strengths are domains scored with zero or a positive number. Needs are domains scored with negative numbers.

What is the family assessment of strengths and needs in NC?

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.

What is the NC family assessment Scale for General Services?

The NCFAS-G+R is an assessment tool designed to examine family functioning in the domains of Environment, Parental Capabilities, Family Interactions, Family Safety, Child Well-Being, Social/Community Life, Self-Sufficiency, Family Health, Caregiver/Child Ambivalence, and Readiness for Reunification.

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What is NC DSS-5229?

NC DSS-5229, also known as the 'North Carolina Department of Social Services Form 5229', is a document used for reporting various details related to income, expenses, and other financial information applicable to social services in North Carolina.

Who is required to file NC DSS-5229?

Individuals or families who are applying for or receiving assistance benefits from the North Carolina Department of Social Services are required to file NC DSS-5229.

How to fill out NC DSS-5229?

To fill out NC DSS-5229, you must provide accurate personal information, income details, expense information, and any other relevant financial data as instructed on the form. It's essential to follow the guidelines provided in the form and seek assistance if needed.

What is the purpose of NC DSS-5229?

The purpose of NC DSS-5229 is to collect necessary financial information from applicants or recipients of social services to help determine eligibility for various assistance programs and to assess ongoing compliance.

What information must be reported on NC DSS-5229?

The NC DSS-5229 requires reporting of personal identification information, income sources and amounts, living expenses, and any other financial resources or circumstances that may impact eligibility for assistance.