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    Please tell us if you need assistance because you do not speak English or have a disability. Free language assistance and/or other aids and services are available upon request. To receive free interpreter services, call 866-719-0141 or ask at the DSS local office. After the recorded message, you will reach an operator who can provide you with an interpreter. If you have a disability and need communication assistance, call 866-719-0141 or TTY: 711.

All Social Services Forms

TitleCategoriesTypeFormatSizeLinkhf:doc_categorieshf:doc_tagshf:file_type
Appendix G SAIH Slot Request Form, , pdf15 KBsocial-services special-assistance special-assistance-in-home-programformpdf
APS Brochure, pdf2 MBadult-protective-services adult-services social-servicesformpdf
DAAS 20201 Special Assistance Second Party Review Form APPLICATIONS, docx34 KBsocial-services special-assistanceformdocx
DAAS 20202 Special Assistance Second Party Review Form RECERTIFICATIONS, docx32 KBsocial-services special-assistanceformdocx
DHB-5001N_UK: СПОВІЩЕННЯ ПРО ВИКОРИСТАННЯ НОМЕРІВ СОЦІАЛЬНОГО СТРАХУВАННЯ, , pdf139 KBforms-in-other-languages social-services ukrainianformpdf
DHB-5043: ФОРМА ПІДТВЕРДЖЕННЯ ДОХОДІВ ТА ВИТРАТ САМОЗАЙНЯТОЇ ОСОБИ, , pdf201 KBforms-in-other-languages social-services ukrainianformpdf
DHB-5200 Tagalog-ia Aplikasyon para sa Saklaw sa Kalusugan at Tulong sa Pagbabayad ng mga Gastos, pdf816 KBforms-in-other-languages health-benefits-nc-medicaid social-servicesformpdf
DHHS AS 0008 Initial Notice to DA or LE Elec, docx43 KBadult-protective-services adult-services social-servicesformdocx
DHHS-AS_6218 Adult Services Intake Inquiry HW 3 2024, docx35 KBadult-services general-adult-services social-servicesformdocx
DHHS-AS-0001 Adult Protective Services Intake, , docx75 KBadult-protective-services adult-services social-servicesformdocx
DHHS-AS-0002 Notice to Reporter Elec 3.2024, docx30 KBadult-protective-services adult-services social-servicesformdocx
DHHS-AS-0003 Adult Services Notice to Administrator Elec 2024, docx32 KBadult-protective-services adult-services social-servicesformdocx
DHHS-AS-0004 Notice to Reporter of Completion of Evaluation Elec 2024, docx32 KBadult-protective-services adult-services social-servicesformdocx
DHHS-AS-0005 Community Evaluation HW 2024, , docx103 KBadult-protective-services adult-services aps-handwritten social-servicesformdocx
DHHS-AS-0005_Community Evaluation Elec.2024, , , , pdf6 MBadult-protective-services adult-services aps-electronic social-services uncategorizedformpdf
DHHS-AS-0006 Facility Evaluation HW 2024, , pdf375 KBadult-protective-services adult-services aps-handwritten social-servicesformpdf
DHHS-AS-0006_Facility_Evaluation_Elec_2024, docx138 KBadult-protective-services adult-services social-servicesformdocx
DHHS-AS-0007_Diligent_Efforts_Elec_2024, docx44 KBadult-protective-services adult-services social-servicesformdocx
DHHS-AS-0007_Diligent_Efforts_HW_2024, docx32 KBadult-protective-services adult-services social-servicesformdocx
DHHS-AS-0009 Written Report of APS Evaluation Elec 3.2024, pdf187 KBadult-protective-services adult-services social-servicesformpdf
DHHS-AS-0009 Written Report of APS Evaluation HW 3.2024, docx35 KBadult-protective-services adult-services social-servicesformdocx
DHHS-AS-0010 APS Notice to Financial Customer Elec, docx39 KBadult-protective-services adult-services social-servicesformdocx
DHHS-AS-0011 Adult and Family Service Plan HW, , , docx44 KBadult-protective-services adult-services guardianship special-assistance-in-home-case-management social-services special-assistanceformdocx
DHHS-AS-0011_Adult_and_Family_Service_Plan _Elec, , , docx48 KBadult-protective-services adult-services guardianship special-assistance-in-home-case-management social-services special-assistanceformdocx
DHHS-AS-0013 Determination of Ability to Consent 2024, pdf205 KBadult-protective-services adult-services social-servicesformpdf
DHHS-AS-0013 Determination of Ability to Consent HW 3.2024, docx34 KBadult-protective-services adult-services social-servicesformdocx
DHHS-AS-0014 Notice of Request for Record for Adult Protective Services Eval. Elec, docx25 KBadult-protective-services adult-services social-servicesformdocx
DHHS-AS-0015 Consent for Financial Records HW, docx42 KBadult-protective-services adult-services social-servicesformdocx
DHHS-AS-0016 Consent for Release of Information HW, , , docx38 KBadult-protective-services adult-services guardianship special-assistance-in-home-case-management social-services special-assistanceformdocx
DHHS-AS-0020-Guardianship Status Report 8.2024, docx51 KBadult-services guardianship social-servicesformdocx
DHHS-AS-5026 Form, , xlsx70 KBadult-protective-services adult-services social-servicesformxlsx
DHHS-AS-6218 Adult Services Intake Inquiry Elec 3 2024, docx44 KBadult-services general-adult-services social-servicesformdocx
DHHS-AS-6219 Adult Services Face Sheet 3 2024, , , docx25 KBadult-protective-services adult-services general-adult-services guardianship social-servicesformdocx
DHHS-AS-6219 Adult Services Face Sheet Elec 3.2024, , , docx35 KBadult-protective-services adult-services general-adult-services guardianship social-servicesformdocx
DHHS-AS-6220 Annual Services Functional Assessment Elec 2024, , doc310 KBadult-protective-services adult-services guardianship social-servicesformdoc
DHHS-AS-6220-Annual Services Functional Assessment HW, , doc210 KBadult-protective-services adult-services guardianship social-servicesformdoc
DHHS-AS-6222 Adult Service Contact Activity Log HW 2024, , , , docx17 KBadult-protective-services adult-services general-adult-services guardianship special-assistance-in-home-case-management social-services special-assistanceformdocx
DHHS-AS-6222 Adult Services Contact Activity Log Elec 2024, , , , docx26 KBadult-protective-services adult-services general-adult-services guardianship special-assistance-in-home-case-management social-services special-assistanceformdocx
DHHS-AS-6223 Interim or Quarterly Review Elec 2024, , , pdf110 KBadult-protective-services adult-services guardianship special-assistance-in-home-case-management social-services special-assistanceformpdf
DHHS-AS-6223 Interim or Quarterly Review HW 2024, , , docx26 KBadult-protective-services adult-services guardianship special-assistance-in-home-case-management social-services special-assistanceformdocx
DHHS-AS-6224 Adult Services Annual Assessment Elec 3 2024, , docx67 KBadult-protective-services adult-services guardianship social-servicesformdocx
DHHS-AS-6224 Adult Services Annual Assessment_HW_3_2024, , docx56 KBadult-protective-services adult-services guardianship social-servicesformdocx
DHHS-AS-6225: SAIH Program Assessment Electronic, docx140 KBsocial-services special-assistanceformdocx
DHHS-AS-6226 Case Closing Summary Elec 3.2024, , , , docx26 KBadult-protective-services adult-services general-adult-services guardianship special-assistance-in-home-case-management social-services special-assistanceformdocx
DHHS-AS-6226 Case Closing Summary HW 3 2024, , , , docx21 KBadult-protective-services adult-services general-adult-services guardianship special-assistance-in-home-case-management social-services special-assistanceformdocx
DHHS-AS-7016, pdf417 KBadult-services guardianship social-servicesformpdf
DHHS-AS-Adult and Family Service Plan Elecdocx44 KBadult-services social-servicesformdocx
DHHS-AS-Adult Services Annual Assessment HW 2024docx56 KBadult-services social-servicesformdocx
DHHS-AS-Request 5337 VA Request Template, , pdf183 KBadult-protective-services adult-services social-servicesformpdf
DMA-5094: ПОВІДОМЛЕННЯ ПРО ВАШЕ ПРАВО ПОДАТИ ЗАЯВКУ НА ОТРИМАННЯ ДОПОМОГИ, , pdf83 KBforms-in-other-languages social-services ukrainianformpdf
DSS_5027_SIS_Client_Entry_Form, , , , pdf1,014 KBadult-protective-services adult-services general-adult-services guardianship special-assistance-in-home-case-management social-services special-assistanceformpdf
DSS_8173_KO: 기록 공개 동의서, , pdf81 KBforms-in-other-languages korean social-servicesformpdf
DSS_8556_KO: 자격상실 심리 사전 통지서, , pdf117 KBforms-in-other-languages korean social-servicesformpdf
DSS_8587_KO: 행정 자격상실 심리 포기에 따른 조치, , pdf107 KBforms-in-other-languages korean social-servicesformpdf
DSS-0031 SAIH Program Interagency Referral Form, pdf230 KBsocial-services special-assistanceformpdf
DSS-0032sp: Asistencia Especial En El Hogar – Certificación de Firma, , pdf73 KBforms-in-other-languages social-services spanishformpdf
DSS-0033: Appendix E, Supplement 1, pdf133 KBsocial-services special-assistanceformpdf
DSS-0034: Appendix E, Supplement 2, pdf107 KBsocial-services special-assistanceformpdf
DSS-10001_AR: اتفاقية خدمات اللغة (LEP) بالنسبة إلى العميل ذي المھارة المحدودة في اللغة الإنجليزية ، والعميل المصاب بضعف في الحواس, , pdf89 KBarabic forms-in-other-languages social-servicesformpdf
DSS-10001_DE: Für Kunden mit eingeschränkter englischer Sprachfähigkeit und Kunden mit beeinträchtigten Sinneswahrnehmungen, , pdf18 KBforms-in-other-languages german social-servicesformpdf
DSS-10001_FR: Accord Concernant Les Services Linguistiques, , pdf19 KBforms-in-other-languages french social-servicesformpdf
DSS-10001_KO: 제한적 영어 구사 능력(LEP) 고객 및 감각 장애 고객용, , pdf93 KBforms-in-other-languages korean social-servicesformpdf
DSS-10001_VI: Dành Cho Khách Hàng Có Trình Độ Anh Ngữ Hạn Chế (Limited English Proficiency hay LEP) Và Khách Hàng Bị Suy Giảm Nhận Thức, , pdf108 KBforms-in-other-languages social-services vietnameseformpdf
DSS-10001-ia: СОГЛАШЕНИЕ О ЯЗЫКОВЫХ УСЛУГАХ, , pdf145 KBforms-in-other-languages russian social-servicesformpdf
DSS-10001-ia: УГОДА ЩОДО ПОСЛУГ ІЗ ПЕРЕКЛАДУ, , pdf144 KBforms-in-other-languages social-services ukrainianformpdf
DSS-10001: Language Services Agreementpdf50 KBsocial-servicesformpdf
DSS-10001ins: Instructions for completing the DSS-10001pdf426 KBsocial-servicesformpdf
DSS-10001sp: Acuerdo Sobre Servicios De Lenguaje Para Personas con Capacidad Limitada en el Uso del Inglés Y Personas con Discapacidades Sensoriales, , pdf51 KBforms-in-other-languages social-services spanishformpdf
DSS-1167: Food and Nutrition Services ePass Application Verification Documentpdf401 KBsocial-servicesformpdf
DSS-1168: Locate Data Sheetpdf10 KBsocial-servicesformpdf
DSS-1321: Statement of Admin. Expenditure for Purchased Servicepdf14 KBsocial-servicesformpdf
DSS-1360: Work First Program Purchase of Services: Referral and Authorizationpdf21 KBsocial-servicesformpdf
DSS-1402: CPS Intake Reportpdf428 KBsocial-servicesformpdf
DSS-1402ins: CPS Intake Report Instructionspdf319 KBsocial-servicesformpdf
DSS-1403: North Carolina Requirement to Notify Child Protective Services (CPS) of Substance Affected Infantpdf274 KBsocial-servicesformpdf
DSS-1404: Care Management for At Risk Children (CMARC) Referral Formpdf2 MBsocial-servicesformpdf
DSS-1432: Application For Disaster Food and Nutrition Servicespdf189 KBsocial-servicesformpdf
DSS-1432sp: División de Servicios Sociales de Carolina del Norte Solicitud de Servicios de Alimento y Nutrición por desastre, , pdf184 KBforms-in-other-languages social-services spanishformpdf
DSS-1451: Fire and Building Safety Inspection Reportpdf16 KBsocial-servicesformpdf
DSS-1463: Title VI, Federal Civil Rights Act of 1964pdf95 KBsocial-servicesformpdf
DSS-1464: Statement of Assurance of Compliance with Title VI of Civil Rights Act of 1964pdf23 KBsocial-servicesformpdf
DSS-1464a: Statement of Assurance of Compliance with Title VI of the Civil Rights Act of 1964 for Other Agencies, Institutions, Organizations or Facilitiespdf119 KBsocial-servicesformpdf
DSS-1473: Request for State Appealpdf318 KBsocial-servicesformpdf
DSS-1473a: Request for State Appeal 1473-Addendum for Program Integritypdf263 KBsocial-servicesformpdf
DSS-1473b: Request for State Appeal 1473-Addendum for Expedited MAD Medical Determinationpdf248 KBsocial-servicesformpdf
DSS-1514: Fire and Building Safety Inspection Report (Institutional Building)pdf16 KBsocial-servicesformpdf
DSS-1515: Foster Home Fire Inspection Safety Reportpdf38 KBsocial-servicesformpdf
DSS-1515sp: Reporte De Inspeccion Contra Incendios De Casa Foster, , pdf38 KBforms-in-other-languages social-services spanishformpdf
DSS-1516: Understanding Foster Care – A Handbook for Youthpdf679 KBsocial-servicesformpdf
DSS-1516sp: Entendiendo el Cuidado Foster–Libro para Jóvenes, , pdf641 KBforms-in-other-languages social-services spanishformpdf
DSS-1630: Application for Appointment of Personal Representativepdf21 KBsocial-servicesformpdf
DSS-1653: Report of Medical Examinationpdf65 KBsocial-servicesformpdf
DSS-1656: Refund Receipt (Collection of Overpayment)pdf133 KBsocial-servicesformpdf
DSS-1662: Verification of Change in Situationpdf255 KBsocial-servicesformpdf
DSS-1662sp: Verificación de Cambio de Situación, , pdf256 KBforms-in-other-languages social-services spanishformpdf
DSS-1664: Report on Aid Needed by Inmate’s Dependentspdf32 KBsocial-servicesformpdf
DSS-1664sp: NC Departmento De Correccion Programa Work Release Reporte de Necesidad de Ayuda para Dependientes de un Interno, , pdf57 KBforms-in-other-languages social-services spanishformpdf
DSS-1665: Work First Cash Assistance Protective Payee Agreementpdf109 KBsocial-servicesformpdf
DSS-1665sp: Work First (Trabajar Primero) Asistencia Monetaria Acuerdo de Pago Protegido, , pdf158 KBforms-in-other-languages social-services spanishformpdf
DSS-1678_AR: إقرار خطي مشفوع بالقسم للاستبدال, , pdf78 KBarabic forms-in-other-languages social-servicesformpdf
DSS-1678_DE: Eidesstattliche Erklarung (Ersatz), , pdf30 KBforms-in-other-languages german social-servicesformpdf
DSS-1678_FR: Declaration Sous Serment De Remplacement, , pdf29 KBforms-in-other-languages french social-servicesformpdf
DSS-1678_KO: 재지급 진술서, , pdf111 KBforms-in-other-languages korean social-servicesformpdf
DSS-1678_VI: BẢN TUYÊN THỆ THAY THẾ, , pdf104 KBforms-in-other-languages social-services vietnameseformpdf
DSS-1678: Replacement/Supplement Affidavitpdf122 KBsocial-servicesformpdf
DSS-1678sp: Declaracion Jurada Para Solicitar Reemplazo De Beneficios, , pdf149 KBforms-in-other-languages social-services spanishformpdf
DSS-1682: Report of Erroneous Issuancepdf219 KBsocial-servicesformpdf
DSS-1688_AR: قسم الخدمات الاجتماعية تعيين ممثل مفوض, , pdf70 KBarabic forms-in-other-languages social-servicesformpdf
DSS-1688_DE: Ernennung eines befugten Vertreters, , pdf50 KBforms-in-other-languages german social-servicesformpdf
DSS-1688_FR: Désignation du représentant autorisé, , pdf68 KBforms-in-other-languages french social-servicesformpdf
DSS-1688_KO: 공식 대리인 지정, , pdf128 KBforms-in-other-languages korean social-servicesformpdf
DSS-1688_VI: Chỉ Định Đại Diện Được Ủy Quyền, , pdf120 KBforms-in-other-languages social-services vietnameseformpdf
DSS-1688: Designation of Authorized Representativepdf43 KBsocial-servicesformpdf
DSS-1688sp: Designación de un Representante Autorizado, , pdf102 KBforms-in-other-languages social-services spanishformpdf
DSS-1700: Application Worksheetpdf160 KBsocial-servicesformpdf
DSS-1700sp: Hoja De Trabajo (Application Worksheet), , pdf148 KBforms-in-other-languages social-services spanishformpdf
DSS-1783: Annual Statistical Report for Residential Child Care Facilitypdf58 KBsocial-servicesformpdf
DSS-1789: Voluntary Placement Agreementpdf46 KBsocial-servicesformpdf
DSS-1789sp: Acuerdo de Colocacion Voluntario, , pdf35 KBforms-in-other-languages social-services spanishformpdf
DSS-1796: Agency/Foster Parents Agreementpdf86 KBsocial-servicesformpdf
DSS-1797: Inter-County Agreement on the Placement of Childrenpdf172 KBsocial-servicesformpdf
DSS-1798: Inter-Agency Adoption Agreementpdf25 KBsocial-servicesformpdf
DSS-1800: Petition for Adoption of a Minor Childpdf90 KBsocial-servicesformpdf
DSS-1800sp: Peticion De Adopcion De Un Menor, , pdf65 KBforms-in-other-languages social-services spanishformpdf
DSS-1801: Agency’s Consent to Adoptionpdf48 KBsocial-servicesformpdf
DSS-1802: Consent to Adoption by Parent, Guardian, or Guardian Ad Litem of the Mother/Fatherpdf94 KBsocial-servicesformpdf
DSS-1802sp: Consentimiento De Adopcion Por Padre, Guardian Ad Litem, O Guardian, , pdf50 KBforms-in-other-languages social-services spanishformpdf
DSS-1803: Consent of Child for Adoptionpdf51 KBsocial-servicesformpdf
DSS-1804: Relinquishment of Minor for Adoption by Parent or Guardianpdf161 KBsocial-servicesformpdf
DSS-1804sp: Renuncia A Un Menor Para Adopcion Por Padre O Guardian, , pdf144 KBforms-in-other-languages social-services spanishformpdf
DSS-1805: Revocation of Relinquishment for Adoption by Parent, Guardian, or Guardian Ad Litem of the Mother/Fatherpdf60 KBsocial-servicesformpdf
DSS-1805sp: Revocacion De Renuncia Para ADOPCION Por Padre O Guardian, , pdf156 KBforms-in-other-languages social-services spanishformpdf
DSS-1806: Revocation of Consent to Adoption by Parent, Guardian, or Guidian Ad Litem of the Mother/Fatherpdf29 KBsocial-servicesformpdf
DSS-1806sp: Revocacion De Consentimiento Para Adopcion Por Madre, Padre O Tutor, , pdf27 KBforms-in-other-languages social-services spanishformpdf
DSS-1807: Order for Report on Proposed Adoptionpdf131 KBsocial-servicesformpdf
DSS-1808: Report on Proposed Adoptionpdf298 KBsocial-servicesformpdf
DSS-1808ins: Instructions for Completing Form DSS-1808pdf254 KBsocial-servicesformpdf
DSS-1809: Affidavit of Parentagepdf87 KBsocial-servicesformpdf
DSS-1809sp: Declaracion De Paternidad, , pdf40 KBforms-in-other-languages social-services spanishformpdf
DSS-1810: Guardianship Assistance Agreementpdf65 KBsocial-servicesformpdf
DSS-1811: Medical Examinationpdf16 KBsocial-servicesformpdf
DSS-1811sp: Examen Medico Como Parte Del Informe A La Corte, , pdf16 KBforms-in-other-languages social-services spanishformpdf
DSS-1812 Autorización General Para El Tratamiento Y Los Medicamentos, , pdf158 KBforms-in-other-languages social-services spanishformpdf
DSS-1812: General Authorization for Treatment and Medicationpdf238 KBsocial-servicesformpdf
DSS-1812ins: General Authorization for Treatment and Medication Instructionspdf225 KBsocial-servicesformpdf
DSS-1813: Guardianship Assistance Eligibility Checklistpdf182 KBsocial-servicesformpdf
DSS-1814: Decree of Adoptionpdf55 KBsocial-servicesformpdf
DSS-1815: Report to Vital Records (Not Stepparent or Adult)pdf39 KBsocial-servicesformpdf
DSS-1815sp: Informe Para El Registro Civil, , pdf82 KBforms-in-other-languages social-services spanishformpdf
DSS-1816: Dismissal of Adoptionpdf105 KBsocial-servicesformpdf
DSS-1820: NC Kids Child Registration Formpdf383 KBsocial-servicesformpdf
DSS-1820ins: NC Kids Child Registration Form Instructionspdf141 KBsocial-servicesformpdf
DSS-1821: NC Kids Family Registration Formpdf327 KBsocial-servicesformpdf
DSS-1821ins: NC Kids Family Registration Form Instructionspdf140 KBsocial-servicesformpdf
DSS-1837: Interstate Compact on the Placement of Children Request (ICPC 100A)pdf166 KBsocial-servicesformpdf
DSS-1837I: Instructions for Completing Form ICPC-100A Interstate Compact on the Placement of Children Requestpdf125 KBsocial-servicesformpdf
DSS-1838: Interstate Compact Report on Child’s Placement Status (ICPC 100B)pdf127 KBsocial-servicesformpdf
DSS-1838I: Instructions for Completing Form ICPC-100B Interstate Compact Report on Child’s Placement Statuspdf79 KBsocial-servicesformpdf
DSS-1839: Regulation 7 Form Order for Expedited Placement Decision Pursuant to the ICPCpdf112 KBsocial-servicesformpdf
DSS-1841: Regulation # 2 Case Manager Statement of Interestpdf181 KBsocial-servicesformpdf
DSS-20221: SA Recertification Budget Sheet, pdf321 KBsocial-services special-assistanceformpdf
DSS-2141: Monthly Requisition For Formspdf177 KBsocial-servicesformpdf
DSS-2203: Daysheetpdf31 KBsocial-servicesformpdf
DSS-2204: Day Summary Sheetpdf25 KBsocial-servicesformpdf
DSS-2216: Request for Recordpdf44 KBsocial-servicesformpdf
DSS-2239: IV-D Legal Services Billpdf9 KBsocial-servicesformpdf
DSS-2249: Affidavit Of Adoption Expenditurespdf23 KBsocial-servicesformpdf
DSS-2250: Adoption Assistance Payment Authorization Noticepdf40 KBsocial-servicesformpdf
DSS-2435I_AR: شعار بانتهاء السريان ونموذج إعادة اعتماد المقابلة لبرنامج خدمات الطعام والتغذية, , pdf254 KBarabic forms-in-other-languages social-servicesformpdf
DSS-2435I_DE: Mitteilung über Ablauf von Lebensmittelleistungen und Formular für erneute Interviewbestätigung, , pdf167 KBforms-in-other-languages german social-servicesformpdf
DSS-2435I_FR: Services d’alimentation et de nutrition (FNS) Avis d’expiration et formulaire de renouvellement d’attestation, , pdf334 KBforms-in-other-languages french social-servicesformpdf
DSS-2435I_KO: 식품 및 영양 서비스(FNS) 만기 통지 및 면접 재인증 양식, , pdf307 KBforms-in-other-languages korean social-servicesformpdf
DSS-2435I_VI: Mẫu Tái Xác Nhận và Thông Báo Hết Hạn và Phỏng Vấn Dịch Vụ Dinh Dưỡng và Thực Phẩm (Food and Nutrition Services hay FNS), , pdf368 KBforms-in-other-languages social-services vietnameseformpdf
DSS-2435I_VI: Mẫu Tái Xác Nhận và Thông Báo Hết Hạn và Phỏng Vấn Dịch Vụ Dinh Dưỡng và Thực Phẩm (Food and Nutrition Services hay FNS), , pdf368 KBforms-in-other-languages social-services vietnameseformpdf
DSS-2435i: Food and Nutrition Services (FNS) Notice of Expiration and Interview Recertification Formpdf347 KBsocial-servicesformpdf
DSS-2435isp: Servicios de Alimentos y Nutrición (FNS). Aviso de Expiración y Formulario de Entrevista de Re-Certificación, , pdf391 KBforms-in-other-languages social-services spanishformpdf
DSS-2435R_AR: إشعار بانتهاء السريان ونموذج إعادة اعتماد المقابلة لبرنامج خدمات الطعام والتغذية, , pdf249 KBarabic forms-in-other-languages social-servicesformpdf
DSS-2435R_DE: Mitteilung über Ablauf von Lebensmittelleistungen und Formular für erneute Zertifizierung, , pdf172 KBforms-in-other-languages german social-servicesformpdf
DSS-2435R_FR: Services d’alimentation et de nutrition (FNS) Avis d’expiration et formulaire de renouvellement d’attestation, , pdf334 KBforms-in-other-languages french social-servicesformpdf
DSS-2435R_KO: 식품 및 영양 서비스(FNS) 만기 통지 및 재인증 양식, , pdf307 KBforms-in-other-languages korean social-servicesformpdf
DSS-2435R_VI: Mẫu Tái Xác Nhận và Thông Báo Hết Hạn Dịch Vụ Dinh Dưỡng và Thực Phẩm (Food and Nutrition Services hay FNS), , pdf368 KBforms-in-other-languages social-services vietnameseformpdf
DSS-2435r: Food and Nutrition Services (FNS) Notice of Expiration Recertification Formpdf346 KBsocial-servicesformpdf
DSS-2435rsp: Alimentos y Nutrición (FNS). Aviso de Expiración y Forma de Re-Certificación, , pdf402 KBforms-in-other-languages social-services spanishformpdf
DSS-2435sri_AR: الحقوق والمسؤوليات, , pdf227 KBarabic forms-in-other-languages social-servicesformpdf
DSS-2435sri_DE: Rechte Und Verantwortungen, , pdf51 KBforms-in-other-languages german social-servicesformpdf
DSS-2435sri_KO: 권리와 의무, , pdf169 KBforms-in-other-languages korean social-servicesformpdf
DSS-2435sri_VI: QUYỀN VÀ TRÁCH NHIỆM, , pdf194 KBforms-in-other-languages social-services vietnameseformpdf
DSS-2435sri: Rights and Responsibilitiespdf166 KBsocial-servicesformpdf
DSS-2435srisp: Derechos Y Responsabilidades, , pdf112 KBforms-in-other-languages social-services spanishformpdf
DSS-2624: Food and Nutrition Services Referral Formpdf39 KBsocial-servicesformpdf
DSS-2625: Food and Nutrition Services E&T Information Transmittalpdf127 KBsocial-servicesformpdf
DSS-2807-II: Part II, Report on Local Hearingspdf99 KBsocial-servicesformpdf
DSS-2807: Part 1, Report on Local Hearings – Summarypdf13 KBsocial-servicesformpdf
DSS-2987_ES: Declaración del Propietario, , pdf316 KBforms-in-other-languages social-services spanishformpdf
DSS-2abl: First Notice to Work First Families with Two Adult Recipients Able to Workpdf12 KBsocial-servicesformpdf
DSS-3000 Appointment Follow-up Letter Regarding SA Assistance Request, pdf56 KBsocial-services special-assistanceformpdf
DSS-3001: Notice of County of Residence Reassignment/Transfer, pdf30 KBsocial-services special-assistanceformpdf
DSS-3001sp Notificación sobre reasignación o transferencia, , pdf32 KBsocial-services spanish special-assistance forms-in-other-languagesformpdf
DSS-3002 Agreement to Sell, pdf73 KBsocial-services special-assistanceformpdf
DSS-3002sp Compromiso de venta, , pdf75 KBsocial-services spanish special-assistance forms-in-other-languagesformpdf
DSS-3003 Important Information About Your Special Assistance and Your Resources, pdf22 KBsocial-services special-assistanceformpdf
DSS-3004 Referral to SSA for Waiver or Reduction of Overpayment Recoupment, pdf57 KBsocial-services special-assistanceformpdf
DSS-3005 Documentation Regarding Continuation of Special Assistance When the LOC Is Upgraded, But No Bed Is Available, pdf53 KBsocial-services special-assistanceformpdf
DSS-3006 Medical Care Special / Medical Expense Form, pdf57 KBsocial-services special-assistanceformpdf
DSS-3431-ia sp: Fecha De Solicitud De Información Financiera, pdf154 KBsocial-services spanish forms-in-other-languagesformpdf
DSS-3431: Request for Financial Informationpdf97 KBsocial-servicesformpdf
DSS-3449_DE: Genehmigung für vom Landwirtschaftsministerium der Vereinigten Staaten von Amerika gespendete Lebensmittel, , pdf19 KBforms-in-other-languages german social-servicesformpdf
DSS-3449_FR: Autorisation de dons de produits alimentaires du Département de l’agriculture des États-Unis (USDA), , pdf18 KBforms-in-other-languages french social-servicesformpdf
DSS-3449_KO: 미농무부(USDA)가 기부한 식품에 대한 승인, , pdf111 KBforms-in-other-languages korean social-servicesformpdf
DSS-3449_VI: Uỷ Quyền Nhận Thực Phẩm Được Quyên Góp Của USDA, , pdf124 KBforms-in-other-languages social-services vietnameseformpdf
DSS-4278: Reunification Referring Agency Referral Formpdf82 KBsocial-servicesformpdf
DSS-4279: Intensive Family Preservation Referring Agency Referral Formpdf49 KBsocial-servicesformpdf
DSS-4451: Application for Child Support Servicespdf1 MBsocial-servicesformpdf
DSS-4451sp: Solicitud De Servicios De Sustento De Menores, , pdf1 MBforms-in-other-languages social-services spanishformpdf
DSS-4718: CSE Direct Deposit Authorizationpdf47 KBsocial-servicesformpdf
DSS-4718sp: Autorizacion Para Deposito Directo, , pdf39 KBforms-in-other-languages social-services spanishformpdf
DSS-5002: Child Welfare Services Corrective Action Planxlsx32 KBsocial-servicesformxlsx
DSS-5009: Fatality Notificationpdf314 KBsocial-servicesformpdf
DSS-5009A: Instructions for Fatality Notificationpdf204 KBsocial-servicesformpdf
DSS-5010: Structured Documentation Instrument for CPS Assessmentspdf1 MBsocial-servicesformpdf
DSS-5010a: Continuing Need and Safety Requirementspdf103 KBsocial-servicesformpdf
DSS-5010ins: NC CPS Assessments Documentation Tool (DSS-5010) Instructionspdf244 KBsocial-servicesformpdf
DSS-5010sp Herramienta De Documentacion De La Evaluatcion De Los CPS De Carolina Del Norte, , pdf987 KBforms-in-other-languages social-services spanishformpdf
DSS-5012: Adoption Assistance Eligibility Checklistpdf252 KBsocial-servicesformpdf
DSS-5012sp: Lista Para Revisar Eligibilidad De Asistencia Por Adopcion, , pdf227 KBforms-in-other-languages social-services spanishformpdf
DSS-5013: North Carolina Adoption Assistance Agreementpdf235 KBsocial-servicesformpdf
DSS-5013sp: Acuerdo De Asistencia Por Adopcion De Carolina Del Norte, , pdf200 KBforms-in-other-languages social-services spanishformpdf
DSS-5015: Foster Care Facility Action Requestpdf30 KBsocial-servicesformpdf
DSS-5016: Foster Home License Applicationpdf538 KBsocial-servicesformpdf
DSS-5016sp: Solicitud De Licencia Para Casa Foster, , pdf530 KBforms-in-other-languages social-services spanishformpdf
DSS-5017: Medical History Formpdf54 KBsocial-servicesformpdf
DSS-5017sp: Forma De Historial Medico, , pdf103 KBforms-in-other-languages social-services spanishformpdf
DSS-5018 Autorizacion De Hogares De Acogida Formulario De Evaluacion De Seguridad En Relacion Con El Agua, , pdf186 KBforms-in-other-languages social-services spanishformpdf
DSS-5018: Foster Home Licensing Water Hazard Safety Assessment Formpdf189 KBsocial-servicesformpdf
DSS-5018a: Foster Home Licensing Individual Water Hazard Safety Planpdf338 KBsocial-servicesformpdf
DSS-5022: Refugee Work Registration Certification, Employment/Refusal and Termination/Denial Noticepdf94 KBsocial-servicesformpdf
DSS-5023: Direct Deposit Enrollment Authorization Formpdf183 KBsocial-servicesformpdf
DSS-5023sp: Forma de Autorización para Deposito Directo, , pdf205 KBforms-in-other-languages social-services spanishformpdf
DSS-5027: Client Entry Formpdf123 KBsocial-servicesformpdf
DSS-5027A: Client Entry – Purchase of Service Provider Formpdf72 KBsocial-servicesformpdf
DSS-5030: Confidential Intermediary Agreementpdf68 KBsocial-servicesformpdf
DSS-5031: Application for Confidential Intermediary Servicespdf129 KBsocial-servicesformpdf
DSS-5032: Consent to Release of Information and/or Contactpdf68 KBsocial-servicesformpdf
DSS-5033: Release of Liability and Agreement to Hold Harmlesspdf15 KBsocial-servicesformpdf
DSS-5094: Child Placement and Payment Reportpdf132 KBsocial-servicesformpdf
DSS-5094a: Foster Care Visit Reportpdf19 KBsocial-servicesformpdf
DSS-5094c: Child Placement and Payment Report Continuation Pagepdf24 KBsocial-servicesformpdf
DSS-5095: NC DSS Child Placement and Payment System Adoption Assistancepdf26 KBsocial-servicesformpdf
DSS-5096A Plan De Hogar Transitorio, , pdf320 KBforms-in-other-languages social-services spanishformpdf
DSS-5096a: Transitional Living Plan For Youth/Young Adults in Foster Carepdf679 KBsocial-servicesformpdf
DSS-5096B: Plan De Hogar Transitorio, , pdf319 KBforms-in-other-languages social-services spanishformpdf
DSS-5096b: Transitional Living Plan – 90 Day Transition Plan for Youth in Foster Carepdf797 KBsocial-servicesformpdf
DSS-5096C: Plan De Hogar Transitorio, , pdf297 KBforms-in-other-languages social-services spanishformpdf
DSS-5096c: Transitional Living Plan – 90 Day Transition Plan For Young Adults In Foster Care 18 to 21pdf299 KBsocial-servicesformpdf
DSS-5096D: Plan De Hogar Transitorio, , pdf176 KBforms-in-other-languages social-services spanishformpdf
DSS-5096d: Transitional Living Plan – Helpful Resources For Young Adultspdf581 KBsocial-servicesformpdf
DSS-5097: Voluntary Placement Agreement for Foster Care 18 to 21pdf362 KBsocial-servicesformpdf
DSS-5098 Registro Mensual De Contactos, , pdf287 KBforms-in-other-languages social-services spanishformpdf
DSS-5098: North Carolina Monthly Contact Record For Foster Care 18 to 21pdf421 KBsocial-servicesformpdf
DSS-5099: Placement Agreement For Foster Care 18 to 21pdf458 KBsocial-servicesformpdf
DSS-5100: Semi-Supervised Independent Living Assessment Toolpdf378 KBsocial-servicesformpdf
DSS-5102: NC DSS Non-Identifying Background Informationpdf188 KBsocial-servicesformpdf
DSS-5102sp: Historial, Sin Proporcionar Informacion Paraidentificar A Alguna Persona Especifica, , pdf128 KBforms-in-other-languages social-services spanishformpdf
DSS-5103: Adoption Health Historypdf285 KBsocial-servicesformpdf
DSS-5103sp: Historial Clínico para Adopción, Parte I, , pdf38 KBforms-in-other-languages social-services spanishformpdf
DSS-5104: Report to Central Registry/CPS Applicationpdf152 KBsocial-servicesformpdf
DSS-5104a: Responsible Individuals List Formpdf285 KBsocial-servicesformpdf
DSS-5104c: Central Registry Report Continuation Page-Childrenpdf176 KBsocial-servicesformpdf
DSS-5104d: Modification/Deletion Request Formpdf73 KBsocial-servicesformpdf
DSS-5104p: Central Registry Report Continuation Page – Perpetratorpdf42 KBsocial-servicesformpdf
DSS-5105: North Carolina Diligent Efforts to Identify and/or Locatedocx36 KBsocial-servicesformdocx
DSS-5106: North Carolina Multiple Response System Case Tracking Formpdf37 KBsocial-servicesformpdf
DSS-5108A: DSS/Student Contractual Agreement for Continuing Residential Support CARS – Six Month Reviewpdf52 KBsocial-servicesformpdf
DSS-5108asp: Contrato de Estudiante/DSS para Apoyo residencial permanente (CARS) Revisión a los seis meses, , pdf45 KBforms-in-other-languages social-services spanishformpdf
DSS-5112: Adoption Assistance Vendor Payment Request Formpdf37 KBsocial-servicesformpdf
DSS-5113: Adoption Services Agreementpdf279 KBsocial-servicesformpdf
DSS-5115: Adoption Assistance Vendor Payment Instructions for Providerspdf58 KBsocial-servicesformpdf
DSS-5115sp: Programa De Asistencia Para Adopcion Instrucciones De Pago, , pdf44 KBforms-in-other-languages social-services spanishformpdf
DSS-5118: Denial of Paternitypdf31 KBsocial-servicesformpdf
DSS-5118sp: Negacion De Paternidad, , pdf29 KBforms-in-other-languages social-services spanishformpdf
DSS-5120: Determination of Foster Care Assistance Benefits and/or Medical Assistance Onlypdf439 KBsocial-servicesformpdf
DSS-5120A: Re-determination of Foster Care Assistance Benefits and/or Medical Assistance Onlypdf110 KBsocial-servicesformpdf
DSS-5120B: Additional Siblings in Removal Homepdf111 KBsocial-servicesformpdf
DSS-5120C: Additional Members of the Family Assistance Unitpdf87 KBsocial-servicesformpdf
DSS-5120E: Determination Of Foster Care 18 to 21 Assistance Benefits and/or Medical Assistance Onlypdf315 KBsocial-servicesformpdf
DSS-5133: Foster Child Notification of Placement (Change) Formpdf169 KBsocial-servicesformpdf
DSS-5133ins: Foster Child Notification of Placement (Change) Form Instructionspdf140 KBsocial-servicesformpdf
DSS-5135: Foster Child Immediate Enrollment Formpdf137 KBsocial-servicesformpdf
DSS-5137: Best Interest Determination Formpdf469 KBsocial-servicesformpdf
DSS-5137a: North Carolina Best Interest Determination Meeting Overridepdf208 KBsocial-servicesformpdf
DSS-5137sp: Formulario De Determinación De Mejor Interés, , pdf180 KBforms-in-other-languages social-services spanishformpdf
DSS-5143 Consent Form for Child Medical Evaluations Instructionspdf123 KBsocial-servicesformpdf
DSS-5143: Consent/Authorization For Medical/Mental Health Evaluationpdf176 KBsocial-servicesformpdf
DSS-5143sp: Consentimiento/Autorizacion Para Evaluacion De La Salud Medica/Mental Programa De Evaluacion Medica Del, , pdf212 KBforms-in-other-languages social-services spanishformpdf
DSS-5145: State of North Carolina Application for Reimbursement of Non-Recurring Adoption Costspdf200 KBsocial-servicesformpdf
DSS-5145sp: Estado De Carolina Del Norte Solicitud Para REEMBOLSO De Costos No Repetitivos De Adopcion, , pdf169 KBforms-in-other-languages social-services spanishformpdf
DSS-5146: Agreement for Reimbursement of Non-Recurring Adoption Costspdf50 KBsocial-servicesformpdf
DSS-5146sp: Estado De Carolina Del Norte Convenio Por Reembolso De Costo Costos No Repetitivos De Adopcion, , pdf55 KBforms-in-other-languages social-services spanishformpdf
DSS-5150: Foster Home Environmental Conditions Reportpdf54 KBsocial-servicesformpdf
DSS-5150sp: Reporte De Condiciones De Casa Foster, , pdf40 KBforms-in-other-languages social-services spanishformpdf
DSS-5152-iisp: Componente Del Estado De Salud Del Nino(a), , pdf23 KBforms-in-other-languages social-services spanishformpdf
DSS-5156: Medical Evaluationpdf65 KBsocial-servicesformpdf
DSS-5156sp: Evaluacion Medica, , pdf61 KBforms-in-other-languages social-services spanishformpdf
DSS-5157: Foster Home Relicense, Termination and Change Request Applicationpdf182 KBsocial-servicesformpdf
DSS-5157sp: Solicitud de Renovacion de Licencia de Casa Foster, , pdf203 KBforms-in-other-languages social-services spanishformpdf
DSS-5158: Foster Home Transfer Request Applicationpdf134 KBsocial-servicesformpdf
DSS-5158sp: Solicitud De Transferencia De Casa Foster, , pdf140 KBforms-in-other-languages social-services spanishformpdf
DSS-5159: Foster Home Change Request Applicationpdf247 KBsocial-servicesformpdf
DSS-5159sp: Solicitud De Cambio, , pdf252 KBforms-in-other-languages social-services spanishformpdf
DSS-5160 Solicitud De Cese Del Hogar De Acogida, , pdf142 KBforms-in-other-languages social-services spanishformpdf
DSS-5160: Foster Home Termination Applicationpdf102 KBsocial-servicesformpdf
DSS-5162: Petition for Adoption of a Minor Child (Step-parent)pdf51 KBsocial-servicesformpdf
DSS-5162sp: Solicitud Para ADOPCIÓN De Un(a) Nino(a) Menor, , pdf31 KBforms-in-other-languages social-services spanishformpdf
DSS-5163: Petition for Adult Adoptionpdf185 KBsocial-servicesformpdf
DSS-5163sp: Solicitud Para Adopcion De Adulto, , pdf22 KBforms-in-other-languages social-services spanishformpdf
DSS-5164: Consent to Adoption by Adult Adopteepdf27 KBsocial-servicesformpdf
DSS-5164sp: Consentimiento De Adopcion Por Adulto Adoptado, , pdf18 KBforms-in-other-languages social-services spanishformpdf
DSS-5165: Consent to Adult Adoption by Spouse of Petitionerpdf125 KBsocial-servicesformpdf
DSS-5165sp: Consentimiento Para Adopcion De Adulto Por Conyuge De Solicitante, , pdf18 KBforms-in-other-languages social-services spanishformpdf
DSS-5166: Decree of Adult Adoptionpdf108 KBsocial-servicesformpdf
DSS-5167: Report to Vital Records for Adult Adoptionpdf37 KBsocial-servicesformpdf
DSS-5167sp: Informe Al Registro Civil Para Adopcion De Adulto, , pdf59 KBforms-in-other-languages social-services spanishformpdf
DSS-5168: Revocation of Child’s Consent to Adoptionpdf19 KBsocial-servicesformpdf
DSS-5168sp: Revocacion Del Consentimiento Para Adopcion Del Nino(a), , pdf21 KBforms-in-other-languages social-services spanishformpdf
DSS-5169: Consent of Child for Adoption (Step-parent Adoption)pdf91 KBsocial-servicesformpdf
DSS-5169sp: Consentimiento Del Nino(a) Para Adopcion, , pdf22 KBforms-in-other-languages social-services spanishformpdf
DSS-5170: Report to Vital Records (Stepparent Adoption)pdf128 KBsocial-servicesformpdf
DSS-5189-iiisp: Departamento de Servicios Sociales ha programado una reunión del Equipo de Acción de Planeamiento de Permanencia, , pdf96 KBforms-in-other-languages social-services spanishformpdf
DSS-5189-iisp: Notice to Parent Regarding a Change in Placement of Children-Spanish, , pdf88 KBforms-in-other-languages social-services spanishformpdf
DSS-5189-isp: Notice to Parent Regarding Proposed Change in the Placement of Children-Spanish, , pdf86 KBforms-in-other-languages social-services spanishformpdf
DSS-5189-ivsp: Notice to Parent Regarding Permanency Planning Review Outcome, , pdf44 KBforms-in-other-languages social-services spanishformpdf
DSS-5189: Consent to Adoption by Parent Who is Spouse of Stepparentpdf53 KBsocial-servicesformpdf
DSS-5189I: Notice to Parent of Proposed Change in Placement of Child(ren)pdf40 KBsocial-servicesformpdf
DSS-5189II: Notice to Parent Regarding Proposed Change in the Placement of Child(ren)pdf39 KBsocial-servicesformpdf
DSS-5189III: Notice to Permanency Planning Reviewpdf83 KBsocial-servicesformpdf
DSS-5189IV: Notice to Parent Regarding Permanency Planning Review Outcomepdf41 KBsocial-servicesformpdf
DSS-5189sp: Consentimiento De Adopcion Otorgado Por Padre/Madre Que Es Conyuge De Madrastra/Padrastro, , pdf25 KBforms-in-other-languages social-services spanishformpdf
DSS-5190: Consent to Adoption by Parent Who Is Not the Stepparent’s Spousepdf52 KBsocial-servicesformpdf
DSS-5190sp: Consent of Adoption by Parent who is not the Stepparent’s Spouse-Spanish, , pdf49 KBforms-in-other-languages social-services spanishformpdf
DSS-5191: Affidavit – Disclosure of Fees & Expensespdf41 KBsocial-servicesformpdf
DSS-5191sp: Declaracion Jurada Divulgacion De Honorarios Y Gastos, , pdf15 KBforms-in-other-languages social-services spanishformpdf
DSS-5199: Foster Home Request for Waiverpdf40 KBsocial-servicesformpdf
DSS-5201: Understanding Foster Care – A Handbook for Parentspdf171 KBsocial-servicesformpdf
DSS-5203: Initial Provider Assessmentpdf258 KBsocial-servicesformpdf
DSS-5203ins: Initial Provider Assessment Instructionspdf164 KBsocial-servicesformpdf
DSS-5203sp: Evaluación inicial del cuidado por parientes, , pdf333 KBforms-in-other-languages social-services spanishformpdf
DSS-5204: Comprehensive Provider Assessmentpdf288 KBsocial-servicesformpdf
DSS-5204ins: Instructions for Comprehensive Provider Assessmentpdf180 KBsocial-servicesformpdf
DSS-5204sp: Evaluación completa del cuidado por parientes, , pdf39 KBforms-in-other-languages social-services spanishformpdf
DSS-5206: Health Summary Form – Initial Visitpdf46 KBsocial-servicesformpdf
DSS-5207: Health History Formpdf188 KBsocial-servicesformpdf
DSS-5207ins: Health History Form Instructionspdf43 KBsocial-servicesformpdf
DSS-5208: Health Summary Form – 30-day Comprehensive Visitpdf162 KBsocial-servicesformpdf
DSS-5209: Health Summary Form – Well-Visitpdf62 KBsocial-servicesformpdf
DSS-5211: Special Children’s Adoption Incentive Fund – Request for Paymentpdf44 KBsocial-servicesformpdf
DSS-5212: Supplemental Adoption Assistance Agreementpdf87 KBsocial-servicesformpdf
DSS-5212sp: Fondo De Incentivos Para La Adopcion De Ninos Especiales Convenio Complementario De Asistencia Para Adopcion, , pdf38 KBforms-in-other-languages social-services spanishformpdf
DSS-5213: Verification of Child’s Need for Daily Supervisionpdf19 KBsocial-servicesformpdf
DSS-5214: Agency Verification of Legal Custody and Child’s Living Arrangement for Past Six Monthspdf24 KBsocial-servicesformpdf
DSS-5215: Verification of Child’s Health Conditionpdf17 KBsocial-servicesformpdf
DSS-5217: Request for Reimbursement Of Links Special Fundspdf27 KBsocial-servicesformpdf
DSS-5218: Consent to Release of Identifying Informationpdf28 KBsocial-servicesformpdf
DSS-5219: Certificate of Delivery of Preplacement Assessmentpdf130 KBsocial-servicesformpdf
DSS-5219sp: Certificado de entrega de la evaluación previa a la colocación, , pdf37 KBforms-in-other-languages social-services spanishformpdf
DSS-5225: Request for NC KIDS Legal Risk Searchpdf438 KBsocial-servicesformpdf
DSS-5225sp: Peticion Para Investigacion De Riesgo De NC KIDS, , pdf249 KBforms-in-other-languages social-services spanishformpdf
DSS-5226: NC SDM Family Risk ReAssessmentpdf99 KBsocial-servicesformpdf
DSS-5226sp: Carolina Del Norte Reevaluacion Del Riesgo Familiar De Abuso / Desciodo, , pdf227 KBforms-in-other-languages social-services spanishformpdf
DSS-5227: NC SDM Family Reunification Assessmentpdf204 KBsocial-servicesformpdf
DSS-5227sp: SDM ® Evaluacion De Reunificacion Familiar, , pdf267 KBforms-in-other-languages social-services spanishformpdf
DSS-5229_ZH-CN: 北卡罗来纳州 家庭能力和需求评估, , pdf309 KBforms-in-other-languages simplified-chinese social-servicesformpdf
DSS-5229: North Carolina Family Assessment of Strengths and Needspdf155 KBsocial-servicesformpdf
DSS-5229sp: Evaluacion De Los Aspectos Fuertes Y Necesidades De La Familia, , pdf181 KBforms-in-other-languages social-services spanishformpdf
DSS-5230: NC SDM Family Risk Assessment of Child Abuse/Neglectpdf215 KBsocial-servicesformpdf
DSS-5230sp: SDM ®Evaluacion De Riesgo Familiar De Abuso/Negligencia, , pdf126 KBforms-in-other-languages social-services spanishformpdf
DSS-5231 ia: Évaluation de la sécurité en Caroline du Nord, , pdf360 KBforms-in-other-languages french social-servicesformpdf
DSS-5231: North Carolina Safety Assessmentpdf408 KBsocial-servicesformpdf
DSS-5231ins: North Carolina Safety Assessment Instructionspdf129 KBsocial-servicesformpdf
DSS-5231sp: Carolina Del Norte Evaluacion De Seguridad, , pdf437 KBforms-in-other-languages social-services spanishformpdf
DSS-5233: Personalized Domestic Violence Safety Planpdf32 KBsocial-servicesformpdf
DSS-5234: Domestic Violence Perpetrator Assessment Toolpdf91 KBsocial-servicesformpdf
DSS-5235 – Non-Offending Parent/Adult Victim Domestic Violence Assessment Toolpdf154 KBsocial-servicesformpdf
DSS-5236: North Carolina Monthly In-Home Contact Recordpdf218 KBsocial-servicesformpdf
DSS-5236ins – North Carolina Monthly In-Home Contact Record Instructionspdf94 KBsocial-servicesformpdf
DSS-5237: Children’s Domestic Violence Assessment Toolpdf78 KBsocial-servicesformpdf
DSS-5238: DSS Referral Form for Early Intervention Services (CDSA)pdf180 KBsocial-servicesformpdf
DSS-5239: In Home Family Services Agreementpdf318 KBsocial-servicesformpdf
DSS-5239ins: In-Home family Services Agreement Completion Instructionspdf214 KBsocial-servicesformpdf
DSS-5239sp: Acuerdo De Servicios De Familia En Casa De Carolina Del Norte, , pdf341 KBforms-in-other-languages social-services spanishformpdf
DSS-5239spa: Acuerdo de Servicios para la Familia en el Hogar, , pdf59 KBforms-in-other-languages social-services spanishformpdf
DSS-5240: Permanency Planning Family Services Agreementpdf439 KBsocial-servicesformpdf
DSS-5240ins: Permanency Planning Family Services Agreement Instructionspdf211 KBsocial-servicesformpdf
DSS-5240sp: Acuerdo De Servicios Familiares De Planificación De Permanencia En Carolina Del Norte, , pdf439 KBforms-in-other-languages social-services spanishformpdf
DSS-5241: Permanency Planning Reviewpdf452 KBsocial-servicesformpdf
DSS-5241ins: Permanency Planning Review Instructionspdf160 KBsocial-servicesformpdf
DSS-5241sp: Reviso de la Evaluación de Acuerdo de Servicios Familiares, , pdf425 KBforms-in-other-languages social-services spanishformpdf
DSS-5242: Family Time and Contact Plan (Visitation)pdf117 KBsocial-servicesformpdf
DSS-5242sp: Regimen De Visitas y Contacto, , pdf356 KBforms-in-other-languages social-services spanishformpdf
DSS-5245: Child Education Statuspdf148 KBsocial-servicesformpdf
DSS-5245ins: Child Education Status Instructionspdf112 KBsocial-servicesformpdf
DSS-5246: Information Sharing Achnowledgementpdf131 KBsocial-servicesformpdf
DSS-5246sp: Acuse De Recibo De Informacion Compartida, , pdf49 KBforms-in-other-languages social-services spanishformpdf
DSS-5247: Information Sharing Partnership Agreementpdf69 KBsocial-servicesformpdf
DSS-5248: ICAMA Form 6.02, Notice of Actionpdf63 KBsocial-servicesformpdf
DSS-5249: Icama Form 6.01, Notice of Medicaid Eligibility/Case Activationpdf162 KBsocial-servicesformpdf
DSS-5250: ICAMA Form 6.03, Report of Change in Child(ren) Family Statuspdf116 KBsocial-servicesformpdf
DSS-5251: ICPC Financial-Medical Planpdf66 KBsocial-servicesformpdf
DSS-5252: ICPC Sending State Priority Home Study Requestpdf236 KBsocial-servicesformpdf
DSS-5253: ICPC Receiving State Priority Home Study Requestpdf231 KBsocial-servicesformpdf
DSS-5255: ICPC Checklist for Interstate Placement Requestspdf32 KBsocial-servicesformpdf
DSS-5256: Drug Endangered Children Protocol: Initial Medical Assessmentpdf32 KBsocial-servicesformpdf
DSS-5257: Drug Endangered Children Protocol – Placement Guidelinespdf151 KBsocial-servicesformpdf
DSS-5257: Protocolo para niños en peligro a la exposición de drogas: pautas de colocación, , pdf145 KBforms-in-other-languages social-services spanishformpdf
DSS-5258: Protocol for Field Assessment to Determine Need for On-Scene Decontamination Prior to Transportpdf383 KBsocial-servicesformpdf
DSS-5259: Drug Endangered Children Protocol: Exposure Recordpdf38 KBsocial-servicesformpdf
DSS-5260: Drug Endangered Children Protocol Feedback Form: Law Enforcementpdf13 KBsocial-servicesformpdf
DSS-5261: Drug Endangered Children Protocol Feedback Form: Social Workerpdf15 KBsocial-servicesformpdf
DSS-5262: Drug Endangered Children Protocol Feedback Form: Health Care Providerpdf17 KBsocial-servicesformpdf
DSS-5263: Drug Endangered Children Protocol Feedback Form: Foster Care Providerpdf13 KBsocial-servicesformpdf
DSS-5264: Family Support Parent and Family Questionnaire – Client Satisfaction Surveypdf312 KBsocial-servicesformpdf
DSS-5264sp: Encuesta Sobre Servicios al Cliente – Programa de Ayuda a la Familia y Bienestar del Niño, , pdf49 KBforms-in-other-languages social-services spanishformpdf
DSS-5266: 24 Month Time Limitpdf32 KBsocial-servicesformpdf
DSS-5266sp: Estimada familia del programa Work First, , pdf23 KBforms-in-other-languages social-services spanishformpdf
DSS-5267: 60 Month Lifetime Limitpdf15 KBsocial-servicesformpdf
DSS-5267sp: Estimada familia del programa Work First Período de por vida de 60 meses, , pdf22 KBforms-in-other-languages social-services spanishformpdf
DSS-5268: Responsible Individuals List (RIL) Information Requestpdf843 KBsocial-servicesformpdf
DSS-5268sp: Solicitud de Información: Lista de Individuos Responsables (RIL), , pdf171 KBforms-in-other-languages social-services spanishformpdf
DSS-5271: Individual Criminal Violations Declaration Statementpdf30 KBsocial-servicesformpdf
DSS-5271sp: Declaración de Delitos Penales Individuales, , pdf23 KBforms-in-other-languages social-services spanishformpdf
DSS-5272: Facility ID Number Applicationpdf141 KBsocial-servicesformpdf
DSS-5273: Verification of Participationpdf35 KBsocial-servicesformpdf
DSS-5274: Request for Adjustment to Foster Care Assistance Paymentpdf264 KBsocial-servicesformpdf
DSS-5275: North Carolina Residency Declarationpdf24 KBsocial-servicesformpdf
DSS-5275sp: Declaración de Residencia en Carolina del Norte, , pdf23 KBforms-in-other-languages social-services spanishformpdf
DSS-5276: North Carolina Residency Applicant Statementpdf17 KBsocial-servicesformpdf
DSS-5276sp: Declaración del solicitante de residencia en Carolina del Norte, , pdf19 KBforms-in-other-languages social-services spanishformpdf
DSS-5277: Request for Confidential Information Regarding Child Abuse, Neglect and/or Dependencypdf95 KBsocial-servicesformpdf
DSS-5278: Request for Placement Evaluation for Infant Born to an Incarcerated Motherpdf88 KBsocial-servicesformpdf
DSS-5279: Request for Revocation of a Foster Home Licensepdf161 KBsocial-servicesformpdf
DSS-5280: Notice Foster Home Mandatory Criminal History Checkpdf14 KBsocial-servicesformpdf
DSS-5281 Critical Incident Reporting Formpdf102 KBsocial-servicesformpdf
DSS-5282: Notification of CPS Involvementpdf126 KBsocial-servicesformpdf
DSS-5283: Regulatory and Licensing Services Complaint Formpdf22 KBsocial-servicesformpdf
DSS-5283sp: División de Servicios Sociales de Carolina del NorteForma de Queja de Servicios de Regulaciones y Licencias, , pdf74 KBforms-in-other-languages social-services spanishformpdf
DSS-5285: Child and Family Services Review Protocol for Pilot Countiespdf31 KBsocial-servicesformpdf
DSS-5286: Stakeholder Questionnairepdf16 KBsocial-servicesformpdf
DSS-5287: NC DSS Child and Family Services Review Protocolpdf72 KBsocial-servicesformpdf
DSS-5288: Notice of Extension Hearingpdf21 KBsocial-servicesformpdf
DSS-5288sp: Aviso De Audiencia De Extension, , pdf26 KBforms-in-other-languages social-services spanishformpdf
DSS-5288sp: Aviso De Audiencia De Extension, , pdf26 KBforms-in-other-languages social-services spanishformpdf
DSS-5290-B: Notice of Work First 60-Month State Time Clock Startingpdf62 KBsocial-servicesformpdf
DSS-5290-Bsp: Aviso de los 60 meses iniciales de su participación en el Programa Work First (Trabajar Primero), , pdf64 KBforms-in-other-languages social-services spanishformpdf
DSS-5290: Notice of Work First 24-Month State Time Clock Startingpdf20 KBsocial-servicesformpdf
DSS-5291: Indian Child Welfare Act Compliance Checklistpdf257 KBsocial-servicesformpdf
DSS-5292: Work First Participation Summarypdf93 KBsocial-servicesformpdf
DSS-5292sp: Resumen De Participacion En El Programa Work First, , pdf26 KBforms-in-other-languages social-services spanishformpdf
DSS-5293: Notice of Hardship Exemption Hearingpdf22 KBsocial-servicesformpdf
DSS-5293sp: Aviso De Audiencia De Exencion Por Penuria, , pdf32 KBforms-in-other-languages social-services spanishformpdf
DSS-5294: Notice of Decision on Hardship Exemption Requestpdf22 KBsocial-servicesformpdf
DSS-5294sp: Aviso De Decision Sobre Solicitud De Exencion, , pdf28 KBforms-in-other-languages social-services spanishformpdf
DSS-5295: Monthly Permanency Planning Contact Recordpdf171 KBsocial-servicesformpdf
DSS-5295ins: Monthly Permanency Planning Contact Record Instructionspdf114 KBsocial-servicesformpdf
DSS-5295sp: Registro De Contacto Mensual De Padres Foster En Carolina Del Norte, , pdf233 KBforms-in-other-languages social-services spanishformpdf
DSS-5297: Consent for Release of Confidential Informationpdf52 KBsocial-servicesformpdf
DSS-5297sp: Consentimiento para Divulgar Información Confidencial, , pdf53 KBforms-in-other-languages social-services spanishformpdf
DSS-5298: North Carolina’s Work First Family Assessment of Strengths and Needspdf76 KBsocial-servicesformpdf
DSS-5298sp: Porgrama Work First de Carolina del Norte Evaluación de fortalezas y necesidades de la familia, , pdf90 KBforms-in-other-languages social-services spanishformpdf
DSS-5299: 24-Month Time Limit Checklistpdf41 KBsocial-servicesformpdf
DSS-5300: Notice of Decision on Extension Requestpdf22 KBsocial-servicesformpdf
DSS-5300sp: Aviso De Decision Sobre Solicitud De Extension, , pdf57 KBforms-in-other-languages social-services spanishformpdf
DSS-5301: Extension Hearing Requestpdf19 KBsocial-servicesformpdf
DSS-5301sp: Solicitud De Audiencia De Extension, , pdf23 KBforms-in-other-languages social-services spanishformpdf
DSS-5302: Work First Extension/Exemption Monthly Reportpdf68 KBsocial-servicesformpdf
DSS-5303: Request for NC Kids Child Registration Exemptionpdf252 KBsocial-servicesformpdf
DSS-5303sp: Peticion De Excepcion De Registro Para Un Nino Del Programa NC KIDS, , pdf52 KBforms-in-other-languages social-services spanishformpdf
DSS-5304: Legal Risk Placement Agreementpdf40 KBsocial-servicesformpdf
DSS-5305: Purchase of Adoption Services Agreementpdf33 KBsocial-servicesformpdf
DSS-5306: Adoption Assistance Suspension Noticepdf53 KBsocial-servicesformpdf
DSS-5307: Adoption Assistance Agreement Amendmentpdf46 KBsocial-servicesformpdf
DSS-5308: Adoption Assistance Termination Noticepdf63 KBsocial-servicesformpdf
DSS-5309: Excused Absence Log (For Unpaid Activities)pdf85 KBsocial-servicesformpdf
DSS-5310: Model Court Report for Dispositional and Review Hearingspdf224 KBsocial-servicesformpdf
DSS-5311: Model Court Report for Permanency Planning Hearingspdf290 KBsocial-servicesformpdf
DSS-5312: Model Court Report for Post Termination of Parental Rights Hearingspdf68 KBsocial-servicesformpdf
DSS-5313: Work Registration Indicatorpdf112 KBsocial-servicesformpdf
DSS-5313sp: Registro para Trabajar, , pdf16 KBforms-in-other-languages social-services spanishformpdf
DSS-5314: Sample Letter for Annual Adoptions Assistance Eligibility Reviewpdf37 KBsocial-servicesformpdf
DSS-5315sp: Plan de Emancipación de Custodia en Cuidado Foster, , pdf160 KBforms-in-other-languages social-services spanishformpdf
DSS-5316: Relative Interest Formpdf145 KBsocial-servicesformpdf
DSS-5317: Relative Notification Letterpdf25 KBsocial-servicesformpdf
DSS-5318: Relative Search Informationpdf88 KBsocial-servicesformpdf
DSS-5320: DSS – Monthly Adoption Reporting Formxlsx75 KBsocial-servicesformxlsx
DSS-5320a: Contract Agency – Monthly Adoption Reporting & Payment Formxlsx82 KBsocial-servicesformxlsx
DSS-5321: Workers Compensation Fraud in North Carolinapdf32 KBsocial-servicesformpdf
DSS-5321sp: Compensacion De Trabajadores en Carolina Del Norte, , pdf46 KBforms-in-other-languages social-services spanishformpdf
DSS-5322: Report of Injuries to Work First Participants in Work Experience/Community Servicepdf29 KBsocial-servicesformpdf
DSS-5324: Adoptive Placement Agreementpdf32 KBsocial-servicesformpdf
DSS-5325: Substance Use Behavioral Indicator Checklist IIpdf154 KBsocial-servicesformpdf
DSS-5325sp: Lista II De Indicadores De Conducta Por Abuso De Sustancias, , pdf102 KBforms-in-other-languages social-services spanishformpdf
DSS-5326: Teen Pregnancy Prevention and Healthy Marriage Initiatives Fact Sheetpdf23 KBsocial-servicesformpdf
DSS-5326sp: Volante Informativo Iniciativas Para La Prevencion Del Embarazo En Adolescentes Y Matrimonios Saludables, , pdf67 KBforms-in-other-languages social-services spanishformpdf
DSS-5327: Learning Needs Screening Toolpdf28 KBsocial-servicesformpdf
DSS-5328: Request to Cancel Direct Depositpdf75 KBsocial-servicesformpdf
DSS-5328sp: Solicitud de Cancelación de Depósito Directo, , pdf377 KBforms-in-other-languages social-services spanishformpdf
DSS-5329: Complaint Procedures for the Work First Programpdf13 KBsocial-servicesformpdf
DSS-5329sp: Procedimiento de Queja del Programa Work First, , pdf13 KBforms-in-other-languages social-services spanishformpdf
DSS-5330: Learning Needs Screening Tool Waiver & Consent Agreementpdf18 KBsocial-servicesformpdf
DSS-5330sp: Rechazo al Uso de la Herramienta de Detección de Necesidades en el Aprendizaje y Forma de Consentimiento, , pdf26 KBforms-in-other-languages social-services spanishformpdf
DSS-5331: ICPC Supervision Report – 30 Dayspdf30 KBsocial-servicesformpdf
DSS-5332: ICPC Supervision Report – 90 Dayspdf34 KBsocial-servicesformpdf
DSS-5333: Americans with Disabilities Act – Did you know?pdf65 KBsocial-servicesformpdf
DSS-5333sp: ¿Sabía usted?, , pdf49 KBforms-in-other-languages social-services spanishformpdf
DSS-5334: Notice of Requirement to Cooperate and Right to Claim Good Cause for Refusal to Cooperate in Child Support Enforcementpdf17 KBsocial-servicesformpdf
DSS-5334sp: Aviso De Requerimiento De Cooperar Y Derecho Para Reclamar (Claim) Una Causa Justificada Para Reusarse A Cooperar Con El Programa De Manutencion Infantil (Child Support Enforcement), , pdf30 KBforms-in-other-languages social-services spanishformpdf
DSS-5335: Consent to Explore American Indian Heritagepdf51 KBsocial-servicesformpdf
DSS-5336: Fostering Connections/Tribal Relative Search (DSS-5336) Instructionspdf45 KBsocial-servicesformpdf
DSS-5339: CPS Expansion (TANF Transfer to SSBG) Eligibility Documentation Formpdf30 KBsocial-servicesformpdf
DSS-5340: TANF Federal Time Clock Verification Requestpdf34 KBsocial-servicesformpdf
DSS-5340sp: Peticion De Verificacion Del Reloj Federal Del Programa TANF, , pdf40 KBforms-in-other-languages social-services spanishformpdf
DSS-5401 Consent Form for a Clinical Assessment of Protective Parenting (CAPP)pdf162 KBsocial-servicesformpdf
DSS-5402: Child Welfare Human Trafficking Screening Toolpdf305 KBsocial-servicesformpdf
DSS-5758: Supplemental Board Payment for HIV Positive Foster Children Request for Reimbursementpdf71 KBsocial-servicesformpdf
DSS-5759: Request for Supplemental Adoption Assistance for HIV Positive Adopted Childrenpdf36 KBsocial-servicesformpdf
DSS-5760 Verification of Custody Letterpdf119 KBsocial-servicesformpdf
DSS-5800: Unlicensed Kinship Payment Eligibility Checklistpdf272 KBsocial-servicesformpdf
DSS-5801: Unlicensed Kinship Form-Facility ID Requestpdf240 KBsocial-servicesformpdf
DSS-5802: Unlicensed Kinship Acknowledgmentpdf154 KBsocial-servicesformpdf
DSS-5960: Law Enforcement and District Attorney Notificationpdf180 KBsocial-servicesformpdf
DSS-6187: Application for State Maternity Funds (Voucher, Social History & Service Plan) Problem Pregnancy Servicespdf263 KBsocial-servicesformpdf
DSS-6187I: Instructions for Completing Application for State Maternity Fund DSS-6187pdf166 KBsocial-servicesformpdf
DSS-6187sp: Solicitud Para Fondos Estatales Para Maternidad, , pdf124 KBforms-in-other-languages social-services spanishformpdf
DSS-6188: Notice of Action on Request for State Maternity Home Fundspdf60 KBsocial-servicesformpdf
DSS-6189: State Maternity Fund Residential Care Provider Agreementpdf133 KBsocial-servicesformpdf
DSS-6190 Rapid Response Team Referral Formpdf128 KBsocial-servicesformpdf
DSS-6191 Plan of Safe Care State Formpdf208 KBsocial-servicesformpdf
DSS-6191sp Formulario de plan de cuidado seguro, , pdf168 KBforms-in-other-languages social-services spanishformpdf
DSS-6192: Safe Surrender Health and Information Formpdf226 KBsocial-servicesformpdf
DSS-6195A: Trauma Screening Tool 0-5pdf199 KBsocial-servicesformpdf
DSS-6195B: Trauma Screening Tool 6-21pdf210 KBsocial-servicesformpdf
DSS-6211: State Abortion Fund Eligibility Certificationpdf32 KBsocial-servicesformpdf
DSS-6226: NC Division of Vocational Rehabilitation Services and County Social Services Agency/Department Referralpdf234 KBsocial-servicesformpdf
DSS-6226sp: División de Servicios de Rehabilitación Vocacional y Agencia de Servicios Sociales del Condado/ Referencia Departamental, , pdf237 KBforms-in-other-languages social-services spanishformpdf
DSS-6228: د مسلکي مهارتونو روزنه او د مهارتونو د بیا تصدیق پلان, , pdf316 KBforms-in-other-languages pashto social-servicesformpdf
DSS-6228: MPANGO WA MAFUNZO YA UJUZI WA UFUNDI NA UTHIBITISHAJI WA UJUZI, , pdf275 KBforms-in-other-languages kiswahili social-servicesformpdf
DSS-6228: NC Amahugurwa yimyuga nubumenyi Gahunda yo Kwemeza, , pdf286 KBforms-in-other-languages kinyarwanda social-servicesformpdf
DSS-6228: NC Vocational Skills Training and Skills Recertifiation Plan (DSS-6228)pdf283 KBsocial-servicesformpdf
DSS-6228: NC የሙያ ክህሎት ስልጠና እና ክህሎት ዳግም ማረጋገጫ እቅድ, , pdf269 KBamharic forms-in-other-languages social-servicesformpdf
DSS-6228: УПРАВЛІННЯ У СПРАВАХ БІЖЕНЦІВ ШТАТУ ПІВНІЧНА КАРОЛІНА ПЛАН ПРОФЕСІЙНО-ТЕХНІЧНОЇ ПІДГОТОВКИ ТА ПЕРЕАТЕСТАЦІЇ, , pdf348 KBforms-in-other-languages social-services ukrainianformpdf
DSS-6228: آموزش مهارت های حرفه ای NC و طرح تایید مجدد مهارت ها, , pdf325 KBdari forms-in-other-languages social-servicesformpdf
DSS-6228sp: Plan De Recertification Vocacional De Destrezas Y Capacitacion De Destrezas De NC, , pdf211 KBforms-in-other-languages social-services spanishformpdf
DSS-6229: MAFUNZO YA UJUZI WA UFUNDI NA UTHIBITISHAJI UPYA WA UJUZI MASHRTI YA MPANGO WA UTEKELEZAJI, , pdf146 KBforms-in-other-languages kiswahili social-servicesformpdf
DSS-6229: NC Amahugurwa Yimyuga Yumwuga Nubuhanga bwo Kwemeza Amasezerano Yibisabwa, , pdf142 KBforms-in-other-languages kinyarwanda social-servicesformpdf
DSS-6229: NC Vocational Skills Training And Skills Recertification Agreement Plan of Action Requirements (DSS-6229)pdf143 KBsocial-servicesformpdf
DSS-6229: УПРАВЛІННЯ У СПРАВАХ БІЖЕНЦІВ ШТАТУ ПІВНІЧНА КАРОЛІНА УГОДА ПРО ПРОФЕСІЙНО-ТЕХНІЧНУ ПІДГОТОВКУ ТА ПЕРЕАТЕСТАЦІЮ ВИМОГИ ДО ПЛАНУ ДІЙ, , pdf194 KBforms-in-other-languages social-services ukrainianformpdf
DSS-6229: الزامات برنامه اقدام برای آموزش مهارت های حرفه ای NC و گواهینامه مجدد مهارت ها, , pdf166 KBdari forms-in-other-languages social-servicesformpdf
DSS-6229: د مسلکي مهارتونو روزنه او د مهارتونو د بیا تصدیقولو هوکړه لیکد عمل د پلان شراېط, , pdf163 KBforms-in-other-languages pashto social-servicesformpdf
DSS-6229: የኤንሲ የሙያ ክህሎት ስልጠና እና የችሎታ ማረጋገጫ ስምምነት የድርጊት መስፈርቶች እቅድ, , pdf119 KBamharic forms-in-other-languages social-servicesformpdf
dss-6229sp: Acuerdo De Los Requerimientos Del Plan De Accion Del Programa De Evaluacion Y Rercertificacion De Destrezas De NC, , pdf41 KBforms-in-other-languages social-services spanishformpdf
DSS-6230 (pt. A): Gahunda yo Kwihaza mu Muryango, , pdf175 KBforms-in-other-languages kinyarwanda social-servicesformpdf
DSS-6230 (pt. A): طرح خودکفایی خانواده, , pdf184 KBdari forms-in-other-languages social-servicesformpdf
DSS-6230 (pt. A): የቤተሰብ ራስን መቻል እቅድ, , pdf205 KBamharic forms-in-other-languages social-servicesformpdf
DSS-6230 (pt. B): Gahunda yo Kwihaza mu Muryango, , pdf186 KBforms-in-other-languages kinyarwanda social-servicesformpdf
DSS-6230 (pt. B): طرح خودکفایی خانواده, , pdf204 KBdari forms-in-other-languages social-servicesformpdf
DSS-6230 (pt. B): የቤተሰብ ራስን መቻል እቅድ, , pdf191 KBamharic forms-in-other-languages social-servicesformpdf
DSS-6230 Part A: MPANGO WA KUJITOSHELEZA KWA FAMILIA SEHEMU A, , pdf181 KBforms-in-other-languages kiswahili social-servicesformpdf
DSS-6230 Part A: План сімейного самозабезпечення, , pdf216 KBforms-in-other-languages social-services ukrainianformpdf
DSS-6230 Part A: د کورنۍ په ځان بساېنې پلان, , pdf191 KBforms-in-other-languages pashto social-servicesformpdf
DSS-6230 Part B: MPANGO WA KUJITOSHELEZA KWA FAMILIA SEHEMU B, , pdf187 KBforms-in-other-languages kiswahili social-servicesformpdf
DSS-6230 Part B: План сімейного самозабезпечення, , pdf233 KBforms-in-other-languages social-services ukrainianformpdf
DSS-6230 Part B: کورنۍ په ځان بساېنې پلان, , pdf208 KBforms-in-other-languages pashto social-servicesformpdf
DSS-6230A: Family Self-Sufficiency Planpdf172 KBsocial-servicesformpdf
DSS-6230B: Family Self Sufficiency Planpdf186 KBsocial-servicesformpdf
DSS-6230sp: Plan De Autosuficiencia Familiar, , pdf11 KBforms-in-other-languages social-services spanishformpdf
DSS-6231: Gahunda ya serivisi ya Leta ishinzwe impunzi, , pdf262 KBforms-in-other-languages kinyarwanda social-servicesformpdf
DSS-6231: MPANGO WA HUDUMA, , pdf254 KBforms-in-other-languages kiswahili social-servicesformpdf
DSS-6231: NC State Refugee Office Service Planpdf257 KBsocial-servicesformpdf
DSS-6231: NC የስቴት የስደተኞች ቢሮ አገልግሎት እቅድ, , pdf248 KBamharic forms-in-other-languages social-servicesformpdf
DSS-6231: УПРАВЛІННЯ У СПРАВАХ БІЖЕНЦІВ ШТАТУ ПІВНІЧНА КАРОЛІНА ПЛАН НАДАННЯ ПОСЛУГ, , pdf324 KBforms-in-other-languages social-services ukrainianformpdf
DSS-6231: د کډوالو د دفتر د خدمتونو پلان, , pdf303 KBforms-in-other-languages pashto social-servicesformpdf
DSS-6231: طرح خدمات اداره پناهندگان ایالتی NC, , pdf300 KBdari forms-in-other-languages social-servicesformpdf
DSS-6231sp: Plan Para Establecer Metas, , pdf15 KBforms-in-other-languages social-services spanishformpdf
DSS-6232: MPANGO WA UWEZO WA KUAJIRIWA, , pdf315 KBforms-in-other-languages kiswahili social-servicesformpdf
DSS-6232: NC Gahunda yo Guha akazi Ibiro bya Leta, , pdf335 KBforms-in-other-languages kinyarwanda social-servicesformpdf
DSS-6232: NC State Refugee Office Employability Planpdf317 KBsocial-servicesformpdf
DSS-6232: NC የስቴት የስደተኞች ቢሮ የቅጥር እቅድ, , pdf367 KBamharic forms-in-other-languages social-servicesformpdf
DSS-6232: УПРАВЛІННЯ У СПРАВАХ БІЖЕНЦІВ ШТАТУ ПІВНІЧНА КАРОЛІНА ПЛАН ПРАЦЕВЛАШТУВАННЯ, , pdf427 KBforms-in-other-languages social-services ukrainianformpdf
DSS-6232: د استخدام د وړتیا پلان, , pdf370 KBforms-in-other-languages pashto social-servicesformpdf
DSS-6232: طرح استخدامی اداره پناهندگان ایالتی NC, , pdf363 KBdari forms-in-other-languages social-servicesformpdf
DSS-6232sp: Programa De Carolina Del Norte Para Asistencia A Refugiados Plan Para Determinar Si La Persona Esta En Condiciones Para Ser Empleada, , pdf184 KBforms-in-other-languages social-services spanishformpdf
DSS-6233: Client (ELT) Service Planpdf191 KBsocial-servicesformpdf
DSS-6233: Gahunda ya serivisi y’abakiriya (ELT), , pdf197 KBforms-in-other-languages kinyarwanda social-servicesformpdf
DSS-6233: MAFUNZO YA LUGHA YA KIINGEREZA, , pdf196 KBforms-in-other-languages kiswahili social-servicesformpdf
DSS-6233: УПРАВЛІННЯ У СПРАВАХ БІЖЕНЦІВ ШТАТУ ПІВНІЧНА КАРОЛІНА ПЛАН ВИВЧЕННЯ АНГЛІЙСЬКОЇ МОВИ, , pdf267 KBforms-in-other-languages social-services ukrainianformpdf
DSS-6233: د پیرودونکي (ELT) خدمت پلان, , pdf209 KBforms-in-other-languages pashto social-servicesformpdf
DSS-6233: طرح خدمات مشتری (ELT)., , pdf203 KBdari forms-in-other-languages social-servicesformpdf
DSS-6233: የደንበኛ (ELT) የአገልግሎት እቅድ, , pdf213 KBamharic forms-in-other-languages social-servicesformpdf
DSS-6233sp: Plan De Servicio (ELT) Al Cliente, , pdf8 KBforms-in-other-languages social-services spanishformpdf
DSS-6234: ELT Learner Initial Assessment Formpdf257 KBsocial-servicesformpdf
DSS-6234: ELT Yiga Ifishi Yambere Yisuzuma, , pdf422 KBforms-in-other-languages kinyarwanda social-servicesformpdf
DSS-6234: MAFUNZO YA LUGHA YA KIINGEREZA FOMU YA MTIHANI WA KWANZA, , pdf420 KBforms-in-other-languages kiswahili social-servicesformpdf
DSS-6234: УПРАВЛІННЯ У СПРАВАХ БІЖЕНЦІВ ШТАТУ ПІВНІЧНА КАРОЛІНА НАВЧАННЯ АНГЛІЙСЬКОЇ МОВИ ФОРМА ПОЧАТКОВОГО ОЦІНЮВАННЯ, , pdf502 KBforms-in-other-languages social-services ukrainianformpdf
DSS-6234: د لومړنۍ ارزونې فورمه, , pdf445 KBforms-in-other-languages pashto social-servicesformpdf
DSS-6234: فرم ارزیابی اولیه زبان آموزان ELT, , pdf450 KBdari forms-in-other-languages social-servicesformpdf
DSS-6234: የELT ተማሪ የመጀመሪያ ግምገማ ቅጽ, , pdf939 KBamharic forms-in-other-languages social-servicesformpdf
DSS-6234sp: Formulario De Evaluacion Inicial Del Estudiante ELT, , pdf25 KBforms-in-other-languages social-services spanishformpdf
DSS-6235: Case Review Formpdf162 KBsocial-servicesformpdf
DSS-6235: FOMU YA UKAGUZI WA MPANGO, , pdf163 KBforms-in-other-languages kiswahili social-servicesformpdf
DSS-6235: Ifishi yo gusuzuma, , pdf163 KBforms-in-other-languages kinyarwanda social-servicesformpdf
DSS-6235: УПРАВЛІННЯ У СПРАВАХ БІЖЕНЦІВ ШТАТУ ПІВНІЧНА КАРОЛІНА ФОРМА ПЕРЕГЛЯДУ СПРАВИ, , pdf219 KBforms-in-other-languages social-services ukrainianformpdf
DSS-6235: د قضیې د بیاکتنې فورمه, , pdf185 KBforms-in-other-languages pashto social-servicesformpdf
DSS-6235: فرم بررسی پرونده, , pdf186 KBdari forms-in-other-languages social-servicesformpdf
DSS-6235: የጉዳይ ግምገማ ቅጽ, , pdf189 KBamharic forms-in-other-languages social-servicesformpdf
DSS-6235sp: Revision Trimestral, , pdf13 KBforms-in-other-languages social-services spanishformpdf
DSS-6236: Idhini ya Ufahamu ya Kutolewa kwa Maelezo, , pdf181 KBforms-in-other-languages kiswahili social-servicesformpdf
DSS-6236: Informed Consent For Release Of Informationpdf175 KBsocial-servicesformpdf
DSS-6236: Kumenyeshwa Kumenyekanisha Kurekura Amakuru, , pdf178 KBforms-in-other-languages kinyarwanda social-servicesformpdf
DSS-6236: управління у справах біженців штату північна кароліна Інформована згода на розкриття інформації, , pdf227 KBforms-in-other-languages social-services ukrainianformpdf
DSS-6236: د مالوماتو خپرولو لپاره آګاهانه رضایت, , pdf202 KBforms-in-other-languages pashto social-servicesformpdf
DSS-6236: رضایت آگاهانه برای انتشار اطلاعات, , pdf202 KBdari forms-in-other-languages social-servicesformpdf
DSS-6236: መረጃን ለመልቀቅ በመረጃ የተደገፈ ስምምነት, , pdf204 KBamharic forms-in-other-languages social-servicesformpdf
DSS-6236sp: Consentimiento Con Conocimiento De Causa Para Divulgación De Información, , pdf14 KBforms-in-other-languages social-services spanishformpdf
DSS-6237: DSS Refugee Client Rights Formpdf132 KBsocial-servicesformpdf
DSS-6237: FOMU IKUBIYEMO UBURENGANZIRA BW’UMUKIRIYA, , pdf153 KBforms-in-other-languages kinyarwanda social-servicesformpdf
DSS-6237: FOMU YA HAKI ZA MTEJA, , pdf132 KBforms-in-other-languages kiswahili social-servicesformpdf
DSS-6237: УПРАВЛІННЯ У СПРАВАХ БІЖЕНЦІВ ШТАТУ ПІВНІЧНА КАРОЛІНА ФОРМА ПРАВ КЛІЄНТА, , pdf184 KBforms-in-other-languages social-services ukrainianformpdf
DSS-6237: د مهاجرینو د مراجعینو د حقونو فورمه, , pdf149 KBforms-in-other-languages pashto social-servicesformpdf
DSS-6237: فرم حقوق مشتری پناهندگان DSS, , pdf146 KBdari forms-in-other-languages social-servicesformpdf
DSS-6237: የDSS የስደተኞች ደንበኛ መብቶች ቅጽ, , pdf170 KBamharic forms-in-other-languages social-servicesformpdf
DSS-6237sp: Formulario De Derechos Del Cliente De Carolina De Norte, , pdf15 KBforms-in-other-languages social-services spanishformpdf
DSS-6238: Refugee Cash Assistance Eligibility Monitoring Guidepdf304 KBsocial-servicesformpdf
DSS-6239A: Amasezerano yo Guhana Impunzi, , pdf170 KBforms-in-other-languages kinyarwanda social-servicesformpdf
DSS-6239A: MAKUBALIANO YA UWAJIBIKAJI WA PAMOJA WA WAKIMBIZI, , pdf170 KBforms-in-other-languages kiswahili social-servicesformpdf
DSS-6239A: Refugee Mutual Responsibility Agreementpdf172 KBsocial-servicesformpdf
DSS-6239A: УПРАВЛІННЯ У СПРАВАХ БІЖЕНЦІВ ШТАТУ ПІВНІЧНА КАРОЛІНА УГОДА З БІЖЕНЦЯМИ ПРО ВЗАЄМНУ ВІДПОВІДАЛЬНІСТЬ, , pdf187 KBforms-in-other-languages social-services ukrainianformpdf
DSS-6239A: د کډوالو د دوه اړخیز مسؤلیت تړون, , pdf190 KBforms-in-other-languages pashto social-servicesformpdf
DSS-6239A: موافقتنامه مسئولیت متقابل پناهندگان, , pdf192 KBdari forms-in-other-languages social-servicesformpdf
DSS-6239A: የስደተኞች የጋራ ኃላፊነት ስምምነት, , pdf194 KBamharic forms-in-other-languages social-servicesformpdf
DSS-6239B: Impunzi MRA Gahunda y’ibisabwa, , pdf143 KBforms-in-other-languages kinyarwanda social-servicesformpdf
DSS-6239B: MASHARTI YA MPANGO WA UTEKELEZAJI, , pdf143 KBforms-in-other-languages kiswahili social-servicesformpdf
DSS-6239B: Refugee MRA Plan of Action Requirementspdf140 KBsocial-servicesformpdf
DSS-6239B: УПРАВЛІННЯ У СПРАВАХ БІЖЕНЦІВ ШТАТУ ПІВНІЧНА КАРОЛІНА УГОДА ПРО ВЗАЄМНУ ВІДПОВІДАЛЬНІСТЬ, , pdf176 KBforms-in-other-languages social-services ukrainianformpdf
DSS-6239B: الزامات برنامه اقدام MRA پناهندگان, , pdf159 KBdari forms-in-other-languages social-servicesformpdf
DSS-6239B: د مهاجرینو MRA د عمل اړتیاو پلان, , pdf160 KBforms-in-other-languages pashto social-servicesformpdf
DSS-6239B: የስደተኛ MRA የድርጊት መስፈርቶች እቅድ, , pdf154 KBamharic forms-in-other-languages social-servicesformpdf
DSS-6240_AR: (SNAP) طلب الاشتراك في برنامج المعونة الغذائية المُبسط, , pdf112 KBarabic forms-in-other-languages social-servicesformpdf
DSS-6240_DE: Antrag Auf Vereinfachtes Programm Fur Lebensmittelhilfe (SNAP), , pdf74 KBforms-in-other-languages german social-servicesformpdf
DSS-6240_KO: 간이 영양 지원 프로그램(SNAP) 신청서, , pdf238 KBforms-in-other-languages korean social-servicesformpdf
DSS-6240: Simplified Nutritional Assistance Program (SNAP) Applicationpdf202 KBsocial-servicesformpdf
DSS-6240A_AR: احفظ هذه الصفحة في سجلاتك, , pdf85 KBarabic forms-in-other-languages social-servicesformpdf
DSS-6240A_DE: Legen Sie diese Seite bitte zu Ihren Unterlagen, , pdf34 KBforms-in-other-languages german social-servicesformpdf
DSS-6240A_FR: Programme Simplifie D’Aide Nutritionnelle (SNAP), , pdf31 KBforms-in-other-languages french social-servicesformpdf
DSS-6240A_KO: 참조를 위해 이 문서를 보관하십시오, , pdf141 KBforms-in-other-languages korean social-servicesformpdf
DSS-6240A_VI: Thông Tin Chương Trình Và Các Quyền Và Trách Nhiệm Của Bạn, , pdf118 KBforms-in-other-languages social-services vietnameseformpdf
DSS-6240Asp: Programa Simplificado De Asistencia Nutricional Información sobre el programa. Derechos y Responsabilidades, , pdf252 KBforms-in-other-languages social-services spanishformpdf
DSS-6240sp: Solicitud Del Programa Simplificado De Asistencia Nutricional (Simplified Nutritional Assistance Program, SNAP), , pdf260 KBforms-in-other-languages social-services spanishformpdf
DSS-6241: Refugee Cash Assistance (RCA) Applicationpdf164 KBsocial-servicesformpdf
DSS-6241sp: Solicitud de Asistencia en Efectivo para Refugiados (RCA), , pdf365 KBforms-in-other-languages social-services spanishformpdf
DSS-6242: Refugee Medical Assistance (RMA) Applicationpdf159 KBsocial-servicesformpdf
DSS-6242sp: Solicitud de Asistencia Médica para Refugiados (RMA), , pdf146 KBforms-in-other-languages social-services spanishformpdf
DSS-6246: Affidavit of Paternitypdf39 KBsocial-servicesformpdf
DSS-6247: Notification of Refugee Arrival and Intent to Apply for Benefitspdf141 KBsocial-servicesformpdf
DSS-6250: Gahunda ya Serivisi ishinzwe amategeko, , pdf220 KBforms-in-other-languages kinyarwanda social-servicesformpdf
DSS-6250: Legal Service Planpdf216 KBsocial-servicesformpdf
DSS-6250: MPANGO WA HUDUMA YA KISHERIA, , pdf218 KBforms-in-other-languages kiswahili social-servicesformpdf
DSS-6250: УПРАВЛІННЯ У СПРАВАХ БІЖЕНЦІВ ШТАТУ ПІВНІЧНА КАРОЛІНА ПЛАН НАДАННЯ ЮРИДИЧНИХ ПОСЛУГ, , pdf283 KBforms-in-other-languages social-services ukrainianformpdf
DSS-6250: د حقوقي خدماتو پلان, , pdf259 KBforms-in-other-languages pashto social-servicesformpdf
DSS-6250: طرح خدمات حقوقی, , pdf252 KBdari forms-in-other-languages social-servicesformpdf
DSS-6250: የህግ አገልግሎት እቅድ, , pdf240 KBamharic forms-in-other-languages social-servicesformpdf
DSS-6852: Authorization / Receipt for Direct Paymentpdf10 KBsocial-servicesformpdf
DSS-6901: Work First Employment Services Assessment Formpdf368 KBsocial-servicesformpdf
DSS-6902: Screening for Child Well Beingpdf191 KBsocial-servicesformpdf
DSS-6902sp: Evaluacion De Bienestar De Menores, , pdf165 KBforms-in-other-languages social-services spanishformpdf
DSS-6904: Work First Information Transmittalpdf37 KBsocial-servicesformpdf
DSS-6905: Work Experience/Community Service Agreementpdf296 KBsocial-servicesformpdf
DSS-6905sp: Sericios De Empleo Work First Acuerdo de Experiencia Laboral y Servicio Comunitario, , pdf381 KBforms-in-other-languages social-services spanishformpdf
DSS-6960: Job Search/Verification Logpdf275 KBsocial-servicesformpdf
DSS-6960sp: Busqueda De Trabajo y Registro De Verificaion, , pdf632 KBforms-in-other-languages social-services spanishformpdf
DSS-6961: Verification of Household Compositionpdf43 KBsocial-servicesformpdf
DSS-6961sp: La Verificacion De La Composicion Del Grupo Familiar, , pdf49 KBforms-in-other-languages social-services spanishformpdf
DSS-6962: Workers Compensation Guide for Work First Participants In Work Experience and Community Service Activitiespdf145 KBsocial-servicesformpdf
DSS-6962sp: Guía de Compensación Para Trabajadores Participantes en los Programas de Work Experience (Experiencia de Trabajo) y Servicio Comunitario, , pdf146 KBforms-in-other-languages social-services spanishformpdf
DSS-6963a_bsp: Acuerdo De Responsbilidad Mutua Requerimientos Basicos, , pdf124 KBforms-in-other-languages social-services spanishformpdf
DSS-6963a: Mutual Responsibility Agreement – Core Requirementspdf22 KBsocial-servicesformpdf
DSS-6963Asp: Acuerdo De Responsabilidad Mutua – Requerimientos Basicos, , pdf22 KBforms-in-other-languages social-services spanishformpdf
DSS-6963b: Mutual Responsibility Agreement Plan of Action Requirementspdf64 KBsocial-servicesformpdf
DSS-6963Bsp: Acuerdo De Responsabilidad Mutua Requisitos Del Plan Accion, , pdf32 KBforms-in-other-languages social-services spanishformpdf
DSS-6963c: Mutual Responsibility Agreement Plan of Action Requirements for Work First Servicespdf18 KBsocial-servicesformpdf
DSS-6964: Program Reference Guidepdf404 KBsocial-servicesformpdf
DSS-6964sp: Informacion de Programas, , pdf146 KBforms-in-other-languages social-services spanishformpdf
DSS-6965: Family Violence Option/Domestic Violence Work First Assessmentpdf301 KBsocial-servicesformpdf
DSS-6965sp: Opcion Respecto a Violencia Familiar/Violencia Domestica Evaluacion Work First, , pdf193 KBforms-in-other-languages social-services spanishformpdf
DSS-6966: Notification of Family Violence Optionpdf107 KBsocial-servicesformpdf
DSS-6966sp: Notificación de opción de violencia familiar, , pdf104 KBforms-in-other-languages social-services spanishformpdf
DSS-6967: Family Violence Option Brochurepdf3 MBsocial-servicesformpdf
DSS-6968: Screening for Domestic Violencepdf23 KBsocial-servicesformpdf
DSS-6968sp: Preguntas de Violencia Doméstica, , pdf490 KBforms-in-other-languages social-services spanishformpdf
DSS-6969: Consent for Release of Informationpdf55 KBsocial-servicesformpdf
DSS-6969sp: Consentimiento Para Proporcionar Informacion, , pdf41 KBforms-in-other-languages social-services spanishformpdf
DSS-8104: Second Notice of Right to Claim Good Cause for Refusal to Cooperate in Child Support Enforcementpdf23 KBsocial-servicesformpdf
DSS-8104sp: Segundo Aviso De Derecho A Presentar Buena Razon Para Negarse A Cooperar Con El Cumplimiento De La Manutencion Infantil, , pdf34 KBforms-in-other-languages social-services spanishformpdf
DSS-8105A Programa De Asistencia De Agua-Aviso De Aprobacion, , pdf177 KBforms-in-other-languages social-services spanishformpdf
DSS-8105A Water Assistance Program-Notice of Approvalpdf179 KBsocial-servicesformpdf
DSS-8105A СПОВІЩЕННЯ ПРО СХВАЛЕННЯ ПРОГРАМИ ДОПОМОГИ З ВОДОПОСТАЧАННЯМ, , pdf184 KBforms-in-other-languages russian social-servicesformpdf
DSS-8105A: СПОВІЩЕННЯ ПРО СХВАЛЕННЯ ПРОГРАМИ ДОПОМОГИ З ВОДОПОСТАЧАННЯМ, , pdf169 KBforms-in-other-languages social-services ukrainianformpdf
DSS-8105B Programa De Asistencia De Agua-Aviso De Negacion, , pdf113 KBforms-in-other-languages social-services spanishformpdf
DSS-8105B Water Assistance Program-Notice of Denialpdf114 KBsocial-servicesformpdf
DSS-8105B: ПРОГРАМИ ДОПОМОГИ З ВОДОПОСТАЧАННЯМ – СПОВІЩЕННЯ ПРО ВІДХИЛЕННЯ, , pdf130 KBforms-in-other-languages social-services ukrainianformpdf
DSS-8105B: ПРОГРАММА ПОМОЩИ В ОПЛАТЕ ВОДОСНАБЖЕНИЯ — УВЕДОМЛЕНИЕ ОБ ОТКАЗЕ, , pdf129 KBforms-in-other-languages russian social-servicesformpdf
DSS-8105C Programa De Asistencia De Agua-Aviso De Solicitud Retirada, , pdf111 KBforms-in-other-languages social-services spanishformpdf
DSS-8105C Water Assistance Program-Notice of Withdrawalpdf113 KBsocial-servicesformpdf
DSS-8105C: ПРОГРАМИ ДОПОМОГИ З ВОДОПОСТАЧАННЯМ – СПОВІЩЕННЯ ПРО ВІДКЛИКАННЯ, , pdf130 KBforms-in-other-languages social-services ukrainianformpdf
DSS-8105C: ПРОГРАММА ПОМОЩИ В ОПЛАТЕ ВОДОСНАБЖЕНИЯ — УВЕДОМЛЕНИЕ ОБ ОТЗЫВЕ, , pdf130 KBforms-in-other-languages russian social-servicesformpdf
DSS-8107_AR: إخطار الموافقة/الرفض برامج الطاقة, , pdf83 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8107_DE: Energie Programme Mitteilung Uber Genehmigung/Ablehnung, , pdf29 KBforms-in-other-languages german social-servicesformpdf
DSS-8107_FR: Programmes Lies A L’Energie Notifcation D’Approbation/De Refus, , pdf26 KBforms-in-other-languages french social-servicesformpdf
DSS-8107_KO: 에너지 프로그램 승인/거부 고지, , pdf129 KBforms-in-other-languages korean social-servicesformpdf
DSS-8107_VI: CHƯƠNG TRÌNH NĂNG LƯỢNG THÔNG BÁO VỀ PHÊ DUYỆT/TỪ CHỐI, , pdf135 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8107-ia: СПОВІЩЕННЯ ПРО СХВАЛЕННЯ/ВІДХИЛЕННЯ УЧАСТІ В ЕНЕРГЕТИЧНИХ ПРОГРАМАХ, , pdf126 KBforms-in-other-languages social-services ukrainianformpdf
DSS-8107-ia: УЧАСТИЕ В ПРОГРАММАХ ПОМОЩИ В СФЕРЕ ЭНЕРГОСНАБЖЕНИЯ — УВЕДОМЛЕНИЕ ОБ УТВЕРЖДЕНИИ/ОТКАЗЕ, , pdf157 KBforms-in-other-languages russian social-servicesformpdf
DSS-8107: Energy Programs Notice of Approval/Denialpdf26 KBsocial-servicesformpdf
DSS-8107b: Energy Programs Action Noticepdf87 KBsocial-servicesformpdf
DSS-8107bsp: Programas De Energia Aviso De Accion, , pdf21 KBforms-in-other-languages social-services spanishformpdf
DSS-8107D_sp: Aviso De Aprobacion/Denegacion En La Programa De Asistencia De Energia En Casos De Desastre (DEAP), , , pdf132 KBenergy-programs forms-in-other-languages social-services spanishformpdf
DSS-8107D_sp: Disaster Energy Assistance Notice of Approval/Denial, pdf110 KBenergy-programs social-servicesformpdf
DSS-8107sp: Programas De Asistencia De Energia Aviso De Aprobacion/Denegacion, , pdf27 KBforms-in-other-languages social-services spanishformpdf
DSS-8108: Notice of Benefitspdf110 KBsocial-servicesformpdf
DSS-8108sp: Aviso De Beneficios, , pdf109 KBforms-in-other-languages social-services spanishformpdf
DSS-8109: Votre demande de prestations est refusée ou retirée, , pdf235 KBforms-in-other-languages french social-servicesformpdf
DSS-8109: Your Application for Benefits is Being Denied or Withdrawnpdf87 KBsocial-servicesformpdf
DSS-8109sp: Su Solicitud De Beneficios Ha Sido Rechazada O Retirada, , pdf40 KBforms-in-other-languages social-services spanishformpdf
DSS-8110: Notice of Modification, Termination, or Continuation of Public Assistancepdf114 KBsocial-servicesformpdf
DSS-8110sp: Aviso de Modificación, Terminación, o Continuación de Asistencia Pública, , pdf153 KBforms-in-other-languages social-services spanishformpdf
DSS-8113_DE: Gehaltsbestatigungsformular, , pdf43 KBforms-in-other-languages german social-servicesformpdf
DSS-8113_FR: Formulaire De Verification Des Salaires, , pdf37 KBforms-in-other-languages french social-servicesformpdf
DSS-8113: Wage Verification Formpdf51 KBsocial-servicesformpdf
DSS-8113sp: Formulario de Verificacin de Sueldo, , pdf91 KBforms-in-other-languages social-services spanishformpdf
DSS-8115: LIEAP Denial Noticepdf13 KBsocial-servicesformpdf
DSS-8115sp: Programa De Asistencia De Energia Para Personas De Escasos Recursos Aviso De Denegacion, , pdf20 KBforms-in-other-languages social-services spanishformpdf
DSS-8116I: Low Income Energy Assistance Program Eligibility Worksheetpdf147 KBsocial-servicesformpdf
DSS-8116Isp: Programa De Asistencia De Energia Por Bajos Ingresos Hoja De Trabajo Para Determinar La Elegibidad, , pdf177 KBforms-in-other-languages social-services spanishformpdf
DSS-8117: North Carolina’s Energy Programs Brochurepdf150 KBsocial-servicesformpdf
DSS-8117: ЕНЕРГЕТИЧНІ ПРОГРАМИ ПІВНІЧНОЇ КАРОЛІНИ, , pdf169 KBforms-in-other-languages social-services ukrainianformpdf
DSS-8117: ПРОГРАММЫ ПОМОЩИ В СФЕРЕ ЭНЕРГОСНАБЖЕНИЯ, NORTH CAROLINA, , pdf178 KBforms-in-other-languages russian social-servicesformpdf
DSS-8117sp: Programas De Asistencia De Energia De Carolina Del Norte, , pdf89 KBforms-in-other-languages social-services spanishformpdf
DSS-8118: Certification Utilities Moratoriumpdf15 KBsocial-servicesformpdf
DSS-8118sp: Moratoria De Certificacion De Servicios Publicos, , pdf29 KBforms-in-other-languages social-services spanishformpdf
DSS-8119: Energy Programs Outreach Planpdf86 KBsocial-servicesformpdf
DSS-8124: Application for Work First Family Assistance, MA, Refugee, and SApdf98 KBsocial-servicesformpdf
DSS-8124a: EIS Application for Work First Family Assistance, MA, Refugee, and SApdf54 KBsocial-servicesformpdf
DSS-8124Asp: Application for Work First Family Assistance, MA, Refugee, and SA, , pdf54 KBforms-in-other-languages social-services spanishformpdf
DSS-8124b: Rights and Responsibilitiespdf46 KBsocial-servicesformpdf
DSS-8124Bsp: ¿Cuáles son mis derechos? ¿Cuáles son mis responsabilidades?, , pdf30 KBforms-in-other-languages social-services spanishformpdf
DSS-8127: Work First Family Assistance Reportpdf92 KBsocial-servicesformpdf
DSS-8127sp: Informe De Asistencia Familiar Work First, , pdf75 KBforms-in-other-languages social-services spanishformpdf
DSS-8129: Request for Replacement Checkpdf346 KBsocial-servicesformpdf
DSS-8129sp: Sistema De Informacion Sobre Elegibilidad y Sistema De Seguimiento De Informacion Sobre Acogimiento De Menores, , pdf83 KBforms-in-other-languages social-services spanishformpdf
DSS-8131: Change in Situation Reportpdf10 KBsocial-servicesformpdf
DSS-8137: Notice of Incomplete Work First Family Assistance Reportpdf26 KBsocial-servicesformpdf
DSS-8137sp: Notificacion De Informe Incompleto Del Programa De Asistencia Familiar Work First, , pdf37 KBforms-in-other-languages social-services spanishformpdf
DSS-8146A: Notice of Information Needed to Determine Your Eligibility for Work First Family Assistancepdf61 KBsocial-servicesformpdf
DSS-8146Asp: Aviso De Informacion Necesaria Para Determinar Su Elegibilidad Para El Programa Work First, , pdf65 KBforms-in-other-languages social-services spanishformpdf
DSS-8162 LIHWAP Agreementpdf45 KBsocial-servicesformpdf
DSS-8162sp LIHWAP Agreement, , pdf127 KBforms-in-other-languages social-services spanishformpdf
DSS-8163_FR: Accord Sur L’Approvionnement En Energie Domestique, , pdf29 KBforms-in-other-languages french social-servicesformpdf
DSS-8163: Energy Provider Agreementpdf358 KBsocial-servicesformpdf
DSS-8169: Work First Emergency Assistance Applicationpdf74 KBsocial-servicesformpdf
DSS-8169sp: Solicitud Del Programa Work First (Trabajar Primero) De Emergencia, , pdf74 KBforms-in-other-languages social-services spanishformpdf
DSS-8173_AR: بيان إحصاء, , pdf54 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8173_DE: Freistellungserklärung für Auflistung, , pdf15 KBforms-in-other-languages german social-servicesformpdf
DSS-8173_FR: Communiqué concernant le recensement, , pdf14 KBforms-in-other-languages french social-servicesformpdf
DSS-8173_VI: Công Bố Cho Mục Đích Liệt Kê, , pdf101 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8173: Release For Enumerationpdf14 KBsocial-servicesformpdf
DSS-8173sp: Revelación para enumeración, , pdf17 KBforms-in-other-languages social-services spanishformpdf
DSS-8174: Referral for Social Security Number Applicationpdf12 KBsocial-servicesformpdf
DSS-8176_AR: نموذج المساهمة, , pdf67 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8176_DE: Beitragsformular, , pdf27 KBforms-in-other-languages german social-servicesformpdf
DSS-8176_FR: Formulaire De Contribution, , pdf26 KBforms-in-other-languages french social-servicesformpdf
DSS-8176_KO: 기증 양식, , pdf102 KBforms-in-other-languages korean social-servicesformpdf
DSS-8176_VI: MẪU ĐÓNG GÓP, , pdf97 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8176: Contribution Formpdf88 KBsocial-servicesformpdf
DSS-8176sp: Contribution Form (Spanish), , pdf19 KBforms-in-other-languages social-services spanishformpdf
DSS-8178_AR: طلب برامج الطاقة, , pdf103 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8178-ia: ЗАЯВКА НА УЧАСТИЕ В ПРОГРАММЕ ПОМОЩИ В СФЕРЕ ЭНЕРГОСНАБЖЕНИЯ, , pdf271 KBforms-in-other-languages russian social-servicesformpdf
DSS-8178-ia: ЗАЯВКА НА УЧАСТЬ В ЕНЕРГЕТИЧНИХ ПРОГРАМАХ, , pdf280 KBforms-in-other-languages social-services ukrainianformpdf
DSS-8178: Energy Programs Applicationpdf249 KBsocial-servicesformpdf
DSS-8178A: Crisis Intervention Program Worksheetpdf98 KBsocial-servicesformpdf
DSS-8178Asp: Hoja De Trabajo De Intervencion De Crisis, , pdf125 KBforms-in-other-languages social-services spanishformpdf
DSS-8178D_sp: Programa De Asistencia De Energia En Casos De Desastre (DEAP), , pdf234 KBforms-in-other-languages social-services spanishformpdf
DSS-8178D: Energy Disaster Funds Application, pdf222 KBenergy-programs social-servicesformpdf
DSS-8178L: Low Income Energy Assistance Program Application (LIEAP)pdf225 KBsocial-servicesformpdf
DSS-8178Lsp: Solicitud Para El Programa De Asistencia De Energia Para Personas De Bajos Ingresos, , pdf242 KBforms-in-other-languages social-services spanishformpdf
DSS-8178sp: Solicitud Para Programas De Ayuda Para Energia, , pdf163 KBforms-in-other-languages social-services spanishformpdf
DSS-8178W: Solicitud Del Programa De Asistencia De Agua Para Familias De Bajos Ingresos (LIHWAP), , pdf208 KBforms-in-other-languages social-services spanishformpdf
DSS-8185-ia: Програма допомоги в енергетичній сфері для сімей із низьким доходом / програма кризового втручання, , pdf135 KBforms-in-other-languages social-services ukrainianformpdf
DSS-8185-ia: Программа помощи семьям с низким доходом в оплате энергоснабжения Программа кризисного вмешательства, , pdf146 KBforms-in-other-languages russian social-servicesformpdf
DSS-8185: Low Income Energy Assistance Program Crisis Intervention Program Information Neededpdf254 KBsocial-servicesformpdf
DSS-8185A: Prepare for the Energy Program Application Interviewpdf90 KBsocial-servicesformpdf
DSS-8185Asp: Prepárese para la entrevista de la solicitud del Programa de Energía, , pdf76 KBforms-in-other-languages social-services spanishformpdf
DSS-8185sp: Programa de Asistencia de Energía para Personas de Bajos Ingresos Programa de Intervención en Crisis Se Necesita La Siguiente Informacion, , pdf154 KBforms-in-other-languages social-services spanishformpdf
DSS-8189: Appointment Noticepdf89 KBsocial-servicesformpdf
DSS-8189sp: Aviso De Cita, , pdf24 KBforms-in-other-languages social-services spanishformpdf
DSS-8190 SSI/Non-SSI Application Workbook, pdf800 KBsocial-services special-assistanceformpdf
DSS-8190A SSI/Non-SSI Application Workbook Appendix A, pdf118 KBsocial-services special-assistanceformpdf
DSS-8191 Special Assistance Re-enrollment Information Notice, pdf554 KBsocial-services special-assistanceformpdf
DSS-8191i: Work First / Medicaid Notice of Inquirypdf44 KBsocial-servicesformpdf
DSS-8191w: Work First / Medicaid Notice of Withdrawalpdf42 KBsocial-servicesformpdf
DSS-8191wsp: Aiso De Retiro De Work First / Medicaid, , pdf18 KBforms-in-other-languages social-services spanishformpdf
DSS-8194: Income Maintenance Transmittal Formpdf127 KBsocial-servicesformpdf
DSS-8196: Special Announcement Letterpdf16 KBsocial-servicesformpdf
DSS-8197: Change in Caseworker Letterpdf13 KBsocial-servicesformpdf
DSS-8200: Third Party Query Requestpdf16 KBsocial-servicesformpdf
DSS-8201: County Responsible Overpaymentpdf88 KBsocial-servicesformpdf
DSS-8205_AR: خطاب مصادقة مالك العقار, , pdf88 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8205_DE: Bestätigungsschreiben Vermieter, , pdf34 KBforms-in-other-languages german social-servicesformpdf
DSS-8205_FR: Attestation du propriétaire, , pdf33 KBforms-in-other-languages french social-servicesformpdf
DSS-8205_KO: 임대자 확인서, , pdf106 KBforms-in-other-languages korean social-servicesformpdf
DSS-8205_VI: Thư Xác Nhận Của Chủ Nhà, , pdf118 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8205: Landlord Verification Letterpdf38 KBsocial-servicesformpdf
DSS-8205sp: Carta de verificación del propietario, , pdf35 KBforms-in-other-languages social-services spanishformpdf
DSS-8207_AR: طلب الاشتراك في برنامج خدمات الطعام والتغذية, , pdf352 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8207_DE: Antrag auf Lebensmittelleistungen, , pdf251 KBforms-in-other-languages german social-servicesformpdf
DSS-8207_FR: Demande de Services d’alimentation et de nutrition (Food and Nutrition Services), , pdf368 KBforms-in-other-languages french social-servicesformpdf
DSS-8207_KO: 식품 및 영양 서비스 신청서, , pdf479 KBforms-in-other-languages korean social-servicesformpdf
DSS-8207_VI: Đơn Đăng Ký Dịch Vụ Dinh Dưỡng Và Thực Phẩm (Food and Nutrition Services), , pdf519 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8207: Application for Food and Nutrition Servicespdf494 KBsocial-servicesformpdf
DSS-8207A_AR: معلومات البرنامج والحقوق والمسؤوليات, , pdf223 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8207A_DE: Programminformationen und Rechte und Verantwortungen, , pdf128 KBforms-in-other-languages german social-servicesformpdf
DSS-8207A_FR: Informations sur le Programme et les Droits et Responsabilités, , pdf247 KBforms-in-other-languages french social-servicesformpdf
DSS-8207A_KO: 프로그램 정보 및 권리와 의무, , pdf209 KBforms-in-other-languages korean social-servicesformpdf
DSS-8207A_VI: Thông Tin Chương Trình, Các Quyền và Trách Nhiệm, , pdf283 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8207sp: Solicitud de Beneficios del Programa de Servicios de Alimentos y Nutrición, , pdf572 KBforms-in-other-languages social-services spanishformpdf
DSS-8207ssi_AR: قسم الخدمات الاجتماعية الإقليمي, , pdf133 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8207ssi_DE: Zusätzliche Sozialleistungen/Lebensmittel-leistungen Antrag, , pdf68 KBforms-in-other-languages german social-servicesformpdf
DSS-8207ssi_FR: Demande de Services d’alimentation et de nutrition/Revenu de sécurité supplémentaire (SSI), , pdf59 KBforms-in-other-languages french social-servicesformpdf
DSS-8207ssi_KO: SSI/식품 및 영양 서비스 신청서, , pdf185 KBforms-in-other-languages korean social-servicesformpdf
DSS-8207ssi_VI: SSI/Dịch Vụ Dinh Dưỡng và Thực Phẩm Đơn Xin, , pdf166 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8207ssi: SSI/Food Stamp Applicationpdf146 KBsocial-servicesformpdf
DSS-8208: Medical Deduction Supplementpdf647 KBsocial-servicesformpdf
DSS-8209: FNS Medical Report Form, pdf138 KBfood-and-nutrition-services social-servicesformpdf
DSS-8209sp: Formulario de informe médico de servicios de alimentación y nutrición, , , pdf135 KBfood-and-nutrition-services forms-in-other-languages social-services spanishformpdf
DSS-8214: Emotional Health Inventory ‚Äì 13 Item Version – Administration Guidepdf235 KBsocial-servicesformpdf
DSS-8215: Substance Use Informationpdf182 KBsocial-servicesformpdf
DSS-8215sp: Informacion sobre Uso de Sustancias, , pdf182 KBforms-in-other-languages social-services spanishformpdf
DSS-8216: Frequently Asked Questions about Electronic Benefit Issuancepdf61 KBsocial-servicesformpdf
DSS-8216sp: Preguntas Frecuentes acerca de Expedicion Electronica de Beneficios, , pdf31 KBforms-in-other-languages social-services spanishformpdf
DSS-8217_AR: برنامج خدمات الطعام والتغذية الإقليمي, , pdf66 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8217_DE: Elektronische Überweisung der Leistungen Antrag auf Kontobelastung, , pdf19 KBforms-in-other-languages german social-servicesformpdf
DSS-8217_FR: Transfert électronique de prestation Demande de débit de compte, , pdf21 KBforms-in-other-languages french social-servicesformpdf
DSS-8217_KO: 전자 수당 지급 계좌 직불카드 요청, , pdf96 KBforms-in-other-languages korean social-servicesformpdf
DSS-8217_VI: Chuyển Khoản Phúc Lợi Bằng Điện Tử Yêu Cầu Ghi Nợ Tài Khoản, , pdf121 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8217: Electronic Benefit Transfer Account Debit Requestpdf97 KBsocial-servicesformpdf
DSS-8217sp: Transferencia electrónica de beneficios Solicitud de débito de cuenta, , pdf95 KBforms-in-other-languages social-services spanishformpdf
DSS-8218: Alcohol Use Disorders Identification Test (Audit)pdf233 KBsocial-servicesformpdf
DSS-8218A: Work First Program Substance Use Screening Noticepdf88 KBsocial-servicesformpdf
DSS-8218Asp: Aviso De Evaluacion De Uso De Sustancias De Work First (Trabajar Primero), , pdf88 KBforms-in-other-languages social-services spanishformpdf
DSS-8218B: Work First Program Testing Noticepdf204 KBsocial-servicesformpdf
DSS-8218Bsp: Aviso de Prueba del Programa Work First (Trabajar Primero), , pdf197 KBforms-in-other-languages social-services spanishformpdf
DSS-8218sp: Prueba De Identificacion De Desordenes En El Uso De Alcohol (Audit), , pdf153 KBforms-in-other-languages social-services spanishformpdf
DSS-8219: Consent For Release of Confidential Informationpdf127 KBsocial-servicesformpdf
DSS-8219sp: Consentimiento Para Proporcionar Informacion Confidencial, , pdf177 KBforms-in-other-languages social-services spanishformpdf
DSS-8220A: Timely Notice of Pending Termination 22 Monthspdf25 KBsocial-servicesformpdf
DSS-8220Asp: Aviso Anticipado De Proxima Suspension Asistencia En Efectivo Work First, , pdf37 KBforms-in-other-languages social-services spanishformpdf
DSS-8220b: Timely Notice of Pending Termination 58 Monthspdf25 KBsocial-servicesformpdf
DSS-8220Bsp: Aviso Anticipado De Proxima Suspension Asistencia En Efectivo Work First, , pdf37 KBforms-in-other-languages social-services spanishformpdf
DSS-8220c: Timely Notice of Pending Termination Work First Family Assistancepdf24 KBsocial-servicesformpdf
DSS-8220csp: Aviso Anticipado De Teminacion Pendiente Programa De Asistencia Familiar Work First (Trabajar Primero), , pdf26 KBforms-in-other-languages social-services spanishformpdf
DSS-8221: What Happens If You Can’t Meet Your Work Requirements Because Appropriate Child Care is Not Available?pdf20 KBsocial-servicesformpdf
DSS-8221sp: ¿Que Pasa Si No Puede Satisfacer Sus Requisitos De Trabajo Porque No Tiene Cuidado Infantil Adecuado?, , pdf30 KBforms-in-other-languages social-services spanishformpdf
DSS-8222: Notice of Work First Family Assistance Job Bonuspdf87 KBsocial-servicesformpdf
DSS-8222sp: Programa de Asistencia Familiar Work First. Bonificación por Trabajo, , pdf220 KBforms-in-other-languages social-services spanishformpdf
DSS-8223: Substance Use Referral Logpdf284 KBsocial-servicesformpdf
DSS-8224: Work First Program Referral to Qualified Professional in Substance Abusepdf195 KBsocial-servicesformpdf
DSS-8224sp: Programa Work First (Trabajar Primero) Persona Referida A Un Profesional Calificado En Abuso De Susutancias, , pdf190 KBforms-in-other-languages social-services spanishformpdf
DSS-8225: Eligibility Worksheetpdf239 KBsocial-servicesformpdf
DSS-8225sp: Hoja De Trabajo De Elegibilidad, , pdf266 KBforms-in-other-languages social-services spanishformpdf
DSS-8226: Letter of Overpaymentpdf43 KBsocial-servicesformpdf
DSS-8226sp: Carta De Pago Excesivo, , pdf156 KBforms-in-other-languages social-services spanishformpdf
DSS-8227: Important Information You Need to Knowpdf21 KBsocial-servicesformpdf
DSS-8227: Informations importantes que vous devez savoir, , pdf109 KBforms-in-other-languages french social-servicesformpdf
DSS-8227: ВАЖЛИВА ІНФОРМАЦІЯ, ЯКУ ВАМ НЕОБХІДНО ЗНАТИ, , pdf142 KBforms-in-other-languages social-services ukrainianformpdf
DSS-8227sp: Noticia Del Acceso A Beneficios Para Immigrantes, , pdf25 KBforms-in-other-languages social-services spanishformpdf
DSS-8228: Work First Cash Assistance Application and Review Documentation Workbookpdf735 KBsocial-servicesformpdf
DSS-8228sp: Solicitud para Asistencia Monetaria del Programa Work First (Trabajar Primero) y Revisión de Documentación Necesaria, , pdf573 KBforms-in-other-languages social-services spanishformpdf
DSS-8230_AR: إخطار بتحديد موعد سلامة البرنامج, , pdf64 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8230_DE: Mitteilung Uber Termin Zu Programmintegritat, , pdf23 KBforms-in-other-languages german social-servicesformpdf
DSS-8230_FR: Notification De Rendez-vous D’Integrite Vis-À-Vis Du Programme, , pdf19 KBforms-in-other-languages french social-servicesformpdf
DSS-8230_KO: 프로그램 준수 심사 일정 통지, , pdf111 KBforms-in-other-languages korean social-servicesformpdf
DSS-8230_VI: THÔNG BÁO BUỔI HẸN SỰ LIÊM CHÍNH TRONG CHƯƠNG TRÌNH, , pdf132 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8230: Program Integrity Appointment Noticepdf34 KBsocial-servicesformpdf
DSS-8230sp: Aviso De Cita De Integridad De Programa, , pdf23 KBforms-in-other-languages social-services spanishformpdf
DSS-8231_AR: طلب معلومات, , pdf67 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8231_DE: Anforderung Von Informationen, , pdf18 KBforms-in-other-languages german social-servicesformpdf
DSS-8231_FR: Demande D’Informations, , pdf15 KBforms-in-other-languages french social-servicesformpdf
DSS-8231_KO: 정보 요청, , pdf105 KBforms-in-other-languages korean social-servicesformpdf
DSS-8231_VI: YÊU CẦU THÔNG TIN, , pdf117 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8231: Request for Informationpdf102 KBsocial-servicesformpdf
DSS-8231sp: Solicitud De Informacion, , pdf121 KBforms-in-other-languages social-services spanishformpdf
DSS-8232_AR: قسم الخدمات الاجتماعية بولاية كارولاينا الشمالية, , pdf88 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8232_DE: Vereinfachtes Programm Fur Lebensmittelhife (SNAP), , pdf54 KBforms-in-other-languages german social-servicesformpdf
DSS-8232_KO: 간이 영양 지원 프로그램(SNAP) 만기일 통지, , pdf205 KBforms-in-other-languages korean social-servicesformpdf
DSS-8232: Simplified Nutritional Assistance Program (SNAP) Notice of Expirationpdf227 KBsocial-servicesformpdf
DSS-8232sp: Programa Simplificado De Asistencia Nutricional (Simplified Nutritional Assistance Program, SNAP) Aviso De Expiracion, , pdf240 KBforms-in-other-languages social-services spanishformpdf
DSS-8234: NCEL Notice to Debtorpdf33 KBsocial-servicesformpdf
DSS-8234sp: NC Education Lottery Collection Notice Letter (Spanish Version), , pdf15 KBforms-in-other-languages social-services spanishformpdf
DSS-8239: Alien Worksheetpdf120 KBsocial-servicesformpdf
DSS-8240_AR: إجراءات تقديم شكوى بخصوص برنامج خدمات الطعام والتغذية, , pdf70 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8240_DE: Beschwerdevergahren Fur Lebensmittelleistungen, , pdf24 KBforms-in-other-languages german social-servicesformpdf
DSS-8240_FR: Procedures De Reclamation Des Services D’Alimentation Et De Nutrition, , pdf20 KBforms-in-other-languages french social-servicesformpdf
DSS-8240_KO: 식품 및 영양 서비스 불만 제기 절차, , pdf99 KBforms-in-other-languages korean social-servicesformpdf
DSS-8240_VI: KHIẾU NẠI DỊCH VỤ DINH DƯỠNG VÀ THỰC PHẨM, , pdf112 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8240: Food and Nutrition Services Complaint Procedurespdf14 KBsocial-servicesformpdf
DSS-8240sp: Programa De Servicios De Alimentos Y Nutricion Procedimiento De Quejas, , pdf17 KBforms-in-other-languages social-services spanishformpdf
DSS-8550_AR: نموذج الإبلاغ عن التغييرات, , pdf342 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8550_DE: Formular Fur Meldung Von Anderungen, , pdf134 KBforms-in-other-languages german social-servicesformpdf
DSS-8550_FR: Formulaire De Declaration De Changement, , pdf261 KBforms-in-other-languages french social-servicesformpdf
DSS-8550_KO: 변경 보고서 양식, , pdf242 KBforms-in-other-languages korean social-servicesformpdf
DSS-8550_VI: MẪU BÁO CÁO THAY ĐỔI, , pdf287 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8550: Change Report Formpdf125 KBsocial-servicesformpdf
DSS-8550sp: Formulario De Informe De Cambios, , pdf168 KBforms-in-other-languages social-services spanishformpdf
DSS-8550srsp: Formulario Para Reportar Cambios Para El Informe Semestral De Hogares, , pdf150 KBforms-in-other-languages social-services spanishformpdf
DSS-8551_AR: إخطار الأهلية، أو الرفض أو الحالة المعلقة, , pdf68 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8551_DE: Mitteilung Uber Anspruchsberechtigung, Ablehnung Oder Schwebenden Status, , pdf24 KBforms-in-other-languages german social-servicesformpdf
DSS-8551_FR: Notification Du Statut D’Eligibilite. Refus Ou En Suspens, , pdf22 KBforms-in-other-languages french social-servicesformpdf
DSS-8551_KO: 자격, 거부 또는 계류 상태의 고지, , pdf118 KBforms-in-other-languages korean social-servicesformpdf
DSS-8551_VI: THÔNG BÁO VỀ SỰ HỘI ĐỦ ĐIỀU KIỆN, TỪ CHỐI HOẶC TÌNH TRẠNG ĐANG CHỜ, , pdf182 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8551: Notice of Eligibility, Denial, or Pending Statuspdf210 KBsocial-servicesformpdf
DSS-8551sp: Aviso De Elegibilidad, Denegacion O Estado Pendiente, , pdf241 KBforms-in-other-languages social-services spanishformpdf
DSS-8552: Food and Nutrition Services Makes North Carolina Strongerpdf127 KBsocial-servicesformpdf
DSS-8552sp: El Programa de Servicios de Alimentos y Nutrición hace a Carolina del Norte más Fuerte, , pdf215 KBforms-in-other-languages social-services spanishformpdf
DSS-8553_AR: قسم الخدمات الاجتماعية إخطار بإجراء مضاد, , pdf74 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8553_DE: Mitteilung Uber Nachteilige Schritte, , pdf28 KBforms-in-other-languages german social-servicesformpdf
DSS-8553_FR: Notification D’Action Defavorable, , pdf21 KBforms-in-other-languages french social-servicesformpdf
DSS-8553_KO: 혜택 변경 통지서, , pdf114 KBforms-in-other-languages korean social-servicesformpdf
DSS-8553_VI: THÔNG BÁO VỀ HÀNH ĐỘNG BẤT LỢI, , pdf124 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8553: Notice of Adverse Actionpdf209 KBsocial-servicesformpdf
DSS-8553sp: Aviso De Medida Adversa, , pdf211 KBforms-in-other-languages social-services spanishformpdf
DSS-8554_AR: قسم الخدمات الاجتماعية خطاب الدفعة الزائدة, , pdf79 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8554_DE: Schreiben Uber Uberbezahlung, , pdf51 KBforms-in-other-languages german social-servicesformpdf
DSS-8554_FR: Lettre Concernant Une Emission Excedentaire Ou Trop-Percu, , pdf44 KBforms-in-other-languages french social-servicesformpdf
DSS-8554_KO: 초과 지급 통지서, , pdf158 KBforms-in-other-languages korean social-servicesformpdf
DSS-8554_VI: THƯ THÔNG BÁO PHÁT QUÁ, , pdf114 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8554: NC DHHS DSS Letter of Overissuancepdf38 KBsocial-servicesformpdf
DSS-8554sp: Carta De Notificacion De Pago Excesivo, , pdf47 KBforms-in-other-languages social-services spanishformpdf
DSS-8555: Food and Nutrition Services First Month of Overissuance Determination Semi-Annual Reporting Casespdf65 KBsocial-servicesformpdf
DSS-8556_AR: إخطار مُسبق بجلسة الاستماع المتعلقة بعدم الأهلية, , pdf74 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8556_DE: Vorankundigung Uber Disqualifikationsanhorung, , pdf23 KBforms-in-other-languages german social-servicesformpdf
DSS-8556_FR: Notification Prealable D’Audition Pour Exclusion, , pdf23 KBforms-in-other-languages french social-servicesformpdf
DSS-8556_VI: THÔNG BÁO TRƯỚC VỀ BUỔI ĐIỀU TRẦN TRUẤT QUYỀN, , pdf150 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8556: Advance Notice of Disqualification Hearingpdf44 KBsocial-servicesformpdf
DSS-8556sp: Aviso Por Adelantado De Audiencia De Descalificacion, , pdf45 KBforms-in-other-languages social-services spanishformpdf
DSS-8557_AR: إخطار بقرار جلسة استماع عدم الأهلية في الولاية, , pdf80 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8557_DE: Mitteilung Uber Entsheidung Der Bundesstaatlichen Disqualifikationsanhorung, , pdf31 KBforms-in-other-languages german social-servicesformpdf
DSS-8557_FR: Notification D’une Decision D’Exclusion Par L’Etat A La Suite D’une Audition, , pdf29 KBforms-in-other-languages french social-servicesformpdf
DSS-8557_KO: 주 정부 자격상실 심리 결정 고지, , pdf120 KBforms-in-other-languages korean social-servicesformpdf
DSS-8557_VI: THÔNG BÁO VỀ QUYẾT ĐỊNH TRONG PHIÊN XỬ TRUẤT QUYỀN CỦA TIỂU BANG, , pdf114 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8557: Notice of State Disqualificaiton Hearing Decisionpdf53 KBsocial-servicesformpdf
DSS-8557sp: Decision De Audiencia: Aviso De Descalificacion Estatal, , pdf53 KBforms-in-other-languages social-services spanishformpdf
DSS-8558_AR: الإجراء المتخذ بشأن جلسة استماع عدم الأهلية الإدارية, , pdf74 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8558_DE: Ergriffene Massnahme Bezuglich Administrativer Disqualifikationsanhorung, , pdf21 KBforms-in-other-languages german social-servicesformpdf
DSS-8558_FR: Action Prise Faisant Suite A Une Audition Concernant Une Exclusion Administrative, , pdf20 KBforms-in-other-languages french social-servicesformpdf
DSS-8558_KO: 행정 자격상실 심리에 취해지는 조치, , pdf109 KBforms-in-other-languages korean social-servicesformpdf
DSS-8558_VI: HÀNH ĐỘNG THỰC HIỆN ĐỐI VỚI BUỔI ĐIỀU TRẦN TRUẤT QUYỀN HÀNH CHÍNH, , pdf113 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8558: Action Taken on Administrative Disqualification Hearingpdf24 KBsocial-servicesformpdf
DSS-8558sp: Renuncia a la Audiencia De Descalificacion, , pdf33 KBforms-in-other-languages social-services spanishformpdf
DSS-8560: Caseworker Desk Referencepdf144 KBsocial-servicesformpdf
DSS-8560sp: Referencia Para El Trabajador Del Caso, , pdf262 KBforms-in-other-languages social-services spanishformpdf
DSS-8561: Food and Nutrition Services First Month of Overissuance Determination Simplified Reporting Casespdf77 KBsocial-servicesformpdf
DSS-8562_AR: أثر التغيير, , pdf67 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8562_DE: Auswirkung Der Anderung, , pdf24 KBforms-in-other-languages german social-servicesformpdf
DSS-8562_FR: Consequence Du Changement, , pdf18 KBforms-in-other-languages french social-servicesformpdf
DSS-8562_KO: 변경의 영향, , pdf104 KBforms-in-other-languages korean social-servicesformpdf
DSS-8562_VI: TÁC ĐỘNG CỦA THAY ĐỔI, , pdf112 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8562: Effect of Changepdf49 KBsocial-servicesformpdf
DSS-8562sp: Efecto Del Cambio Informado, , pdf15 KBforms-in-other-languages social-services spanishformpdf
DSS-8566: FNS First Month of Overissuance Determination Standard and Simplified Casespdf46 KBsocial-servicesformpdf
DSS-8567: Language Noticepdf452 KBsocial-servicesformpdf
DSS-8568: ABAWD Requirements Formpdf267 KBsocial-servicesformpdf
DSS-8568sp: Forma de Requerimientos para Personas ABAWD, , pdf136 KBforms-in-other-languages social-services spanishformpdf
DSS-8569 Consolidated Work Noticepdf204 KBsocial-servicesformpdf
DSS-8569sp Aviso de Trabajo Consolidado, , pdf215 KBforms-in-other-languages social-services spanishformpdf
DSS-8584_AR: خطاب الدفعة الزائدة الانتهاك المُتعمد للبرنامج, , pdf54 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8584_DE: Schreiben Uber Uberbezahlung Vorsatzlicher Programmverstoss, , pdf28 KBforms-in-other-languages german social-servicesformpdf
DSS-8584_FR: Lettre Concernant Une Émission Excedentaire Suite À Une Violation Intentionnelle Du Programme, , pdf29 KBforms-in-other-languages french social-servicesformpdf
DSS-8584_KO: 초과 지급 통지서 고의적인 프로그램 위반, , pdf122 KBforms-in-other-languages korean social-servicesformpdf
DSS-8584_VI: THƯ VỀ VIỆC PHÁT QUÁ CỐ Ý VI PHẠM CHƯƠNG TRÌNH, , pdf92 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8584: Letter for Overissuance / Intentional Program Violationpdf10 KBsocial-servicesformpdf
DSS-8586_AR: إخطار عدم أهلية, , pdf64 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8586_DE: Mitteilung Uber Disqualifikation, , pdf20 KBforms-in-other-languages german social-servicesformpdf
DSS-8586_FR: Avis De Pemalite, , pdf23 KBforms-in-other-languages french social-servicesformpdf
DSS-8586_KO: 자격상실 통지서, , pdf95 KBforms-in-other-languages korean social-servicesformpdf
DSS-8586_VI: THÔNG BÁO TRUẤT QUYỀN, , pdf101 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8586: Notice of Disqualificationpdf29 KBsocial-servicesformpdf
DSS-8586sp: Aviso De Descalificacion, , pdf21 KBforms-in-other-languages social-services spanishformpdf
DSS-8587_AR: الإجراء المُتخذ عند التنازل عن جلسة استماع عدم الأهلية الإدارية, , pdf74 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8587_DE: Ergriffene Massnahme Bezuglich Verzicht Auf Administrative Disqualifikationsanhorung, , pdf22 KBforms-in-other-languages german social-servicesformpdf
DSS-8587_FR: Action Prise Faisant Suite À La Renonciation À Une Audition Concernant Une Exclusion Administrative, , pdf19 KBforms-in-other-languages french social-servicesformpdf
DSS-8587_VI: HÀNH ĐỘNG THỰC HIỆN ĐỐI VỚI VIỆC KHƯỚC TỪ BUỔI ĐIỀU TRẦN TRUẤT QUYỀN HÀNH CHÍNH, , pdf114 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8587: Action Taken on Waiver of Administrative Disqualification Hearingpdf46 KBsocial-servicesformpdf
DSS-8587sp: Medidas Tomadas Respecto A La Renumcia A La Audiencia De Descalificacion Administrativa, , pdf29 KBforms-in-other-languages social-services spanishformpdf
DSS-8588_AR: جلسة استماع التنازل عن عدم الأهلية, , pdf62 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8588_DE: Verzicht Auf Disqualifikationsanhorung, , pdf20 KBforms-in-other-languages german social-servicesformpdf
DSS-8588_FR: Renonciation À L’Audition Concernant Une Exclusion, , pdf18 KBforms-in-other-languages french social-servicesformpdf
DSS-8588_KO: 자격상실 심리의 포기, , pdf108 KBforms-in-other-languages korean social-servicesformpdf
DSS-8588_VI: GIẤY KHƯỚC TỪ BUỔI ĐIỀU TRẦN TRUẤT QUYỀN, , pdf66 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8588: Waiver of Disqualification Hearingpdf103 KBsocial-servicesformpdf
DSS-8588sp: Renuncia A La Audiencia De Descalificacion, , pdf27 KBforms-in-other-languages social-services spanishformpdf
DSS-8590: Food and Nutrition Services Client Recordpdf37 KBsocial-servicesformpdf
DSS-8593: Food Stamp Benefit Issuance Transactionspdf134 KBsocial-servicesformpdf
DSS-8594_AR: إخطار بالموعد إخطار بانتهاء الصلاحية, , pdf86 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8594_DE: Mitteilung über Ablauf von Leistungen, , pdf40 KBforms-in-other-languages german social-servicesformpdf
DSS-8594_FR: Notification d’expiration, , pdf25 KBforms-in-other-languages french social-servicesformpdf
DSS-8594_KO: 면담 일정 통지서 만기일 통지, , pdf155 KBforms-in-other-languages korean social-servicesformpdf
DSS-8594_VI: Thông Báo Hết Hạn, , pdf124 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8594: Appointment Notice-Notice of Expirationpdf31 KBsocial-servicesformpdf
DSS-8594sp: Aviso de Cita, Aviso de Vencimiento, , pdf49 KBforms-in-other-languages social-services spanishformpdf
DSS-8600: Important Disaster Food and Nutrition Services Program Informationpdf25 KBsocial-servicesformpdf
DSS-8600sp: Informacion Importante Sobre El Programa De Servicios De Alimento y Nutricion Por Desastre, , pdf30 KBforms-in-other-languages social-services spanishformpdf
DSS-8601: Food and Nutrition Services Disaster EBT Card Delivery and Receiptpdf24 KBsocial-servicesformpdf
DSS-8602: Food and Nutrition Services Disaster Electronic Benefit Transfer Card Destructionpdf21 KBsocial-servicesformpdf
DSS-8603: Food and Nutrition Services Returned Disaster EBT Cardpdf24 KBsocial-servicesformpdf
DSS-8604_AR: اتفاقية سداد الدفعة الزائدة, , pdf68 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8604_DE: Rückzahlungsvereinbarung für Überbezahlung, , pdf21 KBforms-in-other-languages german social-servicesformpdf
DSS-8604_FR: Accord de remboursement concernant une émission excédentaire ou trop-perçu, , pdf19 KBforms-in-other-languages french social-servicesformpdf
DSS-8604_KO: 초과 지급금 상환 약정, , pdf114 KBforms-in-other-languages korean social-servicesformpdf
DSS-8604_VI: Thỏa Thuận Hoàn Lại Số Tiền Phát Thừa, , pdf102 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8604: Overissuance Repayment Agreementpdf116 KBsocial-servicesformpdf
DSS-8604sp: Acuerdo de devolución de exceso de pago, , pdf133 KBforms-in-other-languages social-services spanishformpdf
DSS-8605_AR: إخطار نية تقديم الدين إلى وزارة الخزينة الأمريكية للتحصيل بالمقاصة, , pdf92 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8605_DE: Mitteilung Uber Absicht, Schulden Zur Eintreibung Durch Verrechnung An Das US-Finanzministerium Zu Überweisen, , pdf39 KBforms-in-other-languages german social-servicesformpdf
DSS-8605_FR: Notification De L’Intention De Soumettre Une Dette Au Tresor Americain Pour Recouvrement Par Compensation, , pdf36 KBforms-in-other-languages french social-servicesformpdf
DSS-8605_KO: 채무 추심을 위해 미국 재무부에 채무 이첩 의향 통지서, , pdf154 KBforms-in-other-languages korean social-servicesformpdf
DSS-8605_VI: THÔNG BÁO Ý ĐỊNH CHUYỂN KHOẢN NỢ TỚI BỘ TÀI CHÍNH HOA KỲ ĐỂ HOÀN TRẢ NỢ, , pdf231 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8605: Notice of Intent to Submit Debt to U.S. Treasury for Offset Collectionpdf35 KBsocial-servicesformpdf
DSS-8605sp: Aviso De Intento De Presentar Una Deuda A La Tesoreria De Estados Unidos Para Recaudacion Por Retencion, , pdf41 KBforms-in-other-languages social-services spanishformpdf
DSS-8606_AR: إخطار بقرار مراجعة برنامج المقاصة التابع لوزارة الخزينة المحلي, , pdf69 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8606_DE: Mitteilung über geprüfte Entscheidung des Verrechnungsprogramm des US-Finanzministeriums, , pdf19 KBforms-in-other-languages german social-servicesformpdf
DSS-8606_FR: Notification de décision à la suite de l’examen du TOP local, , pdf16 KBforms-in-other-languages french social-servicesformpdf
DSS-8606_KO: 지역 TOP 검토 결정 통지서, , pdf104 KBforms-in-other-languages korean social-servicesformpdf
DSS-8606_VI: Thông Báo Về Quyết Định Xem Xét của TOP Tại Địa Phương, , pdf105 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8606: Notice of Local TOP Review Decisionpdf25 KBsocial-servicesformpdf
DSS-8607_AR: الاسم الأول — الاسم الأخير, , pdf43 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8607_DE: Wir haben vor Kurzem, , pdf16 KBforms-in-other-languages german social-servicesformpdf
DSS-8607_FR: Nous avons récemment recouvré, , pdf14 KBforms-in-other-languages french social-servicesformpdf
DSS-8607_KO: 당 기관은 최근에 초과 지급된 식품 및 영양 서비스에 대해 귀하에게 청구된, , pdf92 KBforms-in-other-languages korean social-servicesformpdf
DSS-8607_VI: Gần đây chúng tôi đã, , pdf67 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8607: Refund Noticepdf17 KBsocial-servicesformpdf
DSS-8608_AR: الاسم الأول — الاسم الأخير, , pdf41 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8608_DE: Wir haben vor Kurzem einen Betrag für Ihren Anspruch für zu viel gezahlte Lebensmittelleistungen eingetrieben, , pdf16 KBforms-in-other-languages german social-servicesformpdf
DSS-8608_FR: Nous avons récemment recouvré et appliqué un montant relatif à la réclamation qui vous concerne, , pdf14 KBforms-in-other-languages french social-servicesformpdf
DSS-8608_KO: 당 기관은 최근에 초과 지급된 식품 및 영양 서비스에 대해 귀하에게 청구된 금액을 추심하여 적용했습니다., , pdf85 KBforms-in-other-languages korean social-servicesformpdf
DSS-8608_VI: Chúng tôi vừa thu nợ và áp dụng một số tiền yêu cầu bồi thường của quý vị cho Dịch Vụ Dinh Dưỡng và Thực Phẩm., , pdf66 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8608: TOP Reversalpdf15 KBsocial-servicesformpdf
DSS-8609_DE: Sozialversicherungsnummer – Steuernummer, , pdf16 KBforms-in-other-languages german social-servicesformpdf
DSS-8609_FR: Nous avons récemment recouvré, , pdf14 KBforms-in-other-languages french social-servicesformpdf
DSS-8609_KO: 당 기관은 최근에 초과 지급된 식품 및 영양 서비스에 대해 귀하에게 청구된, , pdf93 KBforms-in-other-languages korean social-servicesformpdf
DSS-8609_VI: Gần đây chúng tôi đã, , pdf67 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8609: Balance Duepdf17 KBsocial-servicesformpdf
DSS-8610_AR: الاسم الأول — الاسم الأخير, , pdf42 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8610_DE: Sozialversicherungsnummer, , pdf16 KBforms-in-other-languages german social-servicesformpdf
DSS-8610_FR: Nous avons récemment recouvré ______________sur cette somme que vous deviez rembourser pour un excès d’émission de Services d’alimentation et de nutrition., , pdf14 KBforms-in-other-languages french social-servicesformpdf
DSS-8610_KO: 당 기관은 최근에 초과 지급된 식품 및 영양 서비스에 대해 귀하에게 청구된, , pdf91 KBforms-in-other-languages korean social-servicesformpdf
DSS-8610_VI: Gần đây chúng tôi đã, , pdf66 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8610: Paid in Full Noticepdf17 KBsocial-servicesformpdf
DSS-8616: Food and Nutrition Services Workfare Referral Formpdf34 KBsocial-servicesformpdf
DSS-8616sp: Formulario De Inscripcion En Workfare” De Estampillas Para Alimentos”, , pdf22 KBforms-in-other-languages social-services spanishformpdf
DSS-8625: Food and Nutrition Services Program Factspdf254 KBsocial-servicesformpdf
DSS-8627: A Serious Crime Public Assistance Fraudpdf91 KBsocial-servicesformpdf
DSS-8627sp: Fraude de asistencia pública (Public Assistance Fraud), , pdf72 KBforms-in-other-languages social-services spanishformpdf
DSS-8628: Food and Nutrition Services Workfare Information Transmittalpdf216 KBsocial-servicesformpdf
DSS-8628sp: Transmision De Informacion De Workfare De Estampillas Para Alimentos, , pdf15 KBforms-in-other-languages social-services spanishformpdf
DSS-8632_AR: تأكيد التخفيض الطوعي للإعانات أو إنهاء الإعانات, , pdf65 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8632_DE: Bestatigung Uber Freiwillige Reduzierung Oder Einstellung Von Leistungen, , pdf20 KBforms-in-other-languages german social-servicesformpdf
DSS-8632_KO: 혜택의 자발적 감액 또는 종료 확인, , pdf103 KBforms-in-other-languages korean social-servicesformpdf
DSS-8632: Confirmation of Voluntary Reduction or Termination of Benefitspdf232 KBsocial-servicesformpdf
DSS-8632sp: Confirmacion De Reduccion O Terminacion Voluntaria De Beneficios, , pdf28 KBforms-in-other-languages social-services spanishformpdf
DSS-8633: Computer Inquiry Checklistpdf10 KBsocial-servicesformpdf
DSS-8636: Notice of Suspensionpdf37 KBsocial-servicesformpdf
DSS-8639_AR: أثر التغيير الكلي على إعانات برنامج خدمات الطعام والتغذية, , pdf64 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8639_DE: Auswirkung Von Massenanderung Auf Ihre Lebensmittelleistungen, , pdf29 KBforms-in-other-languages german social-servicesformpdf
DSS-8639_FR: Consequence Des Modifications Multiples Sur Vos Prestations Des Services D’Alimentation Et De Nutrition, , pdf54 KBforms-in-other-languages french social-servicesformpdf
DSS-8639_KO: 식품 및 영양 서비스 혜택에 대한 중대한 변경 사항의 영향, , pdf123 KBforms-in-other-languages korean social-servicesformpdf
DSS-8639_VI: TÁC ĐỘNG CỦA THAY ĐỔI CHÍNH SÁCH TỚI PHÚC LỢI DỊCH VỤ DINH DƯỠNG VÀ THỰC PHẨM CỦA QUÝ VỊ, , pdf102 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8639: Effect of Mass Change on Your Food and Nutrition Services Benefitspdf58 KBsocial-servicesformpdf
DSS-8639sp: Cambios En Sus Beneficios De Comida Y Nutricion, , pdf78 KBforms-in-other-languages social-services spanishformpdf
DSS-8640_AR: مسؤوليات متطلبات العمل, , pdf85 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8640_DE: Arbeitsanforderungsverpflichtungen, , pdf27 KBforms-in-other-languages german social-servicesformpdf
DSS-8640_FR: Responsabilites Vis-À-Vis Des Obligations Professionnelles, , pdf25 KBforms-in-other-languages french social-servicesformpdf
DSS-8640_KO: 근로 요건 책임, , pdf138 KBforms-in-other-languages korean social-servicesformpdf
DSS-8640_VI: YÊU CẦU TRÁCH NHIỆM TRONG CÔNG VIỆC, , pdf125 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8640: Work Requirement Responsibilitiespdf134 KBsocial-servicesformpdf
DSS-8640sp: Responsabilidades De Requisitos De Trabajo, , pdf191 KBforms-in-other-languages social-services spanishformpdf
DSS-8641: Work Readiness Checklist and Referral Formpdf309 KBsocial-servicesformpdf
DSS-8642_AR: شرح عدم الأهلية, , pdf73 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8642_DE: Erklarung Der Disqualifikation, , pdf24 KBforms-in-other-languages german social-servicesformpdf
DSS-8642_FR: Explication D’Une Exclusion, , pdf24 KBforms-in-other-languages french social-servicesformpdf
DSS-8642_KO: 자격상실에 대한 설명, , pdf105 KBforms-in-other-languages korean social-servicesformpdf
DSS-8642_VI: GIẢI THÍCH VIỆC TRUẤT QUYỀN, , pdf138 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8642: Explanation of Disqualificationpdf29 KBsocial-servicesformpdf
DSS-8642sp: Explicacion De Descalificacion, , pdf45 KBforms-in-other-languages social-services spanishformpdf
DSS-8643: Approval or Denial For Stolen Benefitspdf90 KBsocial-servicesformpdf
DSS-8643sp: Aprobación O Denegación Para Reemplazar Beneficios Electrónicos Robados, , pdf94 KBforms-in-other-languages social-services spanishformpdf
DSS-8644: Affidavit For Stolen Benefitspdf115 KBsocial-servicesformpdf
DSS-8644sp: Declaración jurada de beneficios robados, , pdf121 KBforms-in-other-languages social-services spanishformpdf
DSS-8650_AR: إخطار برنامج خدمات الطعام والتغذية بالمعلومات الضرورية, , pdf112 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8650_DE: Lebensmittelleistungen Mitteiling Über Erforderliche Informationen, , pdf28 KBforms-in-other-languages german social-servicesformpdf
DSS-8650_FR: Notification D’Information Necessaire Pour Les Services D’Alimentation Et De Nutrition (FNS), , pdf26 KBforms-in-other-languages french social-servicesformpdf
DSS-8650_HMN: FOOD AND NUTRITION SERVICES (FNS) DAIM NTAWV CEEB TOOM TXOG COV NTAUB NTAWV UAS YUAV TAU MUAB, , pdf218 KBforms-in-other-languages hmong social-servicesformpdf
DSS-8650_KO: 식품 및 영양 서비스(FNS)를 위한 필요 정보 요청 통지서, , pdf133 KBforms-in-other-languages korean social-servicesformpdf
DSS-8650_VI: THÔNG BÁO CẦN THÔNG TIN CHO DỊCH VỤ DINH DƯỠNG VÀ THỰC PHẨM (FOOD AND NUTRITION SERVICES HAY FNS), , pdf124 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8650-Asp: Aviso de Información, , pdf69 KBforms-in-other-languages social-services spanishformpdf
DSS-8650: Notice of Information Needed to Complete your Food and Nutrition Services (FNS)pdf203 KBsocial-servicesformpdf
DSS-8650A_HMN: Npaj rau Food and Nutrition Services (FNS) Qhov Kev Xam Phaj, , pdf92 KBforms-in-other-languages hmong social-servicesformpdf
DSS-8650A: Notice of Information Needed English Versionpdf74 KBsocial-servicesformpdf
DSS-8650sp: Programa De Servicios De Alimentos Y Nutricion (FNS) Aviso De Informacion Necesaria, , pdf173 KBforms-in-other-languages social-services spanishformpdf
DSS-8653: Notice to Debtorpdf188 KBsocial-servicesformpdf
DSS-8653sp: Aviso Al Deudor, , pdf354 KBforms-in-other-languages social-services spanishformpdf
DSS-8654_AR: نموذج إثبات دخل الطلاب, , pdf53 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8654_DE: Nachweisformular Studenteneinkommen, , pdf28 KBforms-in-other-languages german social-servicesformpdf
DSS-8654_FR: Formulaire De Verification Des Revenus D’Etudiant, , pdf26 KBforms-in-other-languages french social-servicesformpdf
DSS-8654_KO: 학생 수입 확인서 양식, , pdf108 KBforms-in-other-languages korean social-servicesformpdf
DSS-8654_VI: MẪU XÁC NHẬN THU NHẬP CỦA SINH VIÊN, , pdf88 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8654: Student Income Verification Formpdf17 KBsocial-servicesformpdf
DSS-8655: Report of Medical Examination Requested by County DSSpdf206 KBsocial-servicesformpdf
DSS-8655sp: Informe De Examen Medico Solicitado Por El Departmento De Servicios Sociales (DSS) Del, , pdf332 KBforms-in-other-languages social-services spanishformpdf
DSS-8657: Benefit Diversion Agreementpdf141 KBsocial-servicesformpdf
DSS-8657sp: Acuerdo de desviación de beneficios, , pdf92 KBforms-in-other-languages social-services spanishformpdf
DSS-8658_AR: إخطار السداد اللاحق لجلسة الاستماع, , pdf68 KBarabic forms-in-other-languages social-servicesformpdf
DSS-8658_DE: Ruckforderungsbescheid Nach Anhorung, , pdf18 KBforms-in-other-languages german social-servicesformpdf
DSS-8658_FR: Notification De Remboursement Apres L’Audition, , pdf16 KBforms-in-other-languages french social-servicesformpdf
DSS-8658_KO: 심리 후 상환 고지, , pdf102 KBforms-in-other-languages korean social-servicesformpdf
DSS-8658_VI: THÔNG BÁO TRẢ LẠI SAU ĐIỀU TRẦN, , pdf103 KBforms-in-other-languages social-services vietnameseformpdf
DSS-8658: Post Hearing Repayment Noticepdf27 KBsocial-servicesformpdf
DSS-8658sp: Aviso De Pago Despues De La Audiencia, , pdf19 KBforms-in-other-languages social-services spanishformpdf
DSS-9000 Policy Questions Formpdf116 KBsocial-servicesformpdf
DSS-9000 SA: Policy Question Formpdf117 KBsocial-servicesformpdf
DSS-9001: Food and Nutrition Services (FNS) Qualified Professional in Substance Abuse Request for Good Causepdf135 KBsocial-servicesformpdf
DSS-9001sp: Servicios de Alimentos y Nutrición (FNS) Profesional Calificado en Solicitud de Abuso de Sustancias por Buena Causa, , pdf135 KBforms-in-other-languages social-services spanishformpdf
NCFAST – 20009 Form in Gujarati, , pdf282 KBforms-in-other-languages gujarati social-servicesformpdf
NCFAST – 20009 Form in Hindi, , pdf354 KBforms-in-other-languages hindi social-servicesformpdf
NCFAST – 20009 Form in Japanese, , pdf352 KBforms-in-other-languages japanese social-servicesformpdf
NCFAST – 20009 Form in Khmer, , pdf338 KBforms-in-other-languages khmer social-servicesformpdf
NCFAST – 20009 Form in Lao, , pdf312 KBforms-in-other-languages lao social-servicesformpdf
NCFAST – 20009 Form in Russian, , pdf286 KBforms-in-other-languages russian social-servicesformpdf
NCFAST – 20009 Form in Ukraine, , pdf271 KBforms-in-other-languages social-services ukrainianformpdf
NCFAST – 20009 North Carolina Cov Kev Muaj Cai thiab Cov Luag Hauj Lwm rau Kev Pab Zej Tsoom, , pdf237 KBforms-in-other-languages hmong social-servicesformpdf
NCFAST – 20009 North Carolina 公共援助的权利和责任, , pdf349 KBforms-in-other-languages simplified-chinese social-servicesformpdf
NCFAST 20009_AR: الحقوق والمسؤوليات في برنامج المساعدات العامة في ولاية كارولاينا الشمالية القسم 1 : حقوق المتقدم ومسؤولياته, , pdf353 KBarabic forms-in-other-languages social-servicesformpdf
NCFAST-20009 North Carolina Rights and Responsibilities for Public Assistance, , pdf277 KBchild-development-and-early-education social-services subsidized-child-care-assistanceformpdf
NCFAST-20009_DE: Öffentliche Unterstützung in North Carolina – Rechte und Verantwortungen, , pdf229 KBforms-in-other-languages german social-servicesformpdf
NCFAST-20009_FR: Droits et responsabilités de l’aide publique de Caroline du Nord, , pdf268 KBforms-in-other-languages french social-servicesformpdf
NCFAST-20009_KO: 노스캐롤라이나 주 공적 부조 권리 및 의무 섹션 1: 신청자 권리와 의무, , pdf427 KBforms-in-other-languages korean social-servicesformpdf
NCFAST-20009sp: Asistencia Pública de Carolina del Norte – Derechos y Responsabilidades, , pdf275 KBforms-in-other-languages social-services spanishformpdf
NCFST-20009_VI: Các Quyền và Trách Nhiệm về Trợ Cấp Công Cộng Tại Bắc Carolina, , pdf341 KBforms-in-other-languages social-services vietnameseformpdf