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DSS-5009: Fatality Notification

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DSS-5009: Fatality Notification https://policies.ncdhhs.gov/divisional/social-services/forms/dss-5009-fatality-notification https://policies.ncdhhs.gov/logo.png

DSS-5009: Fatality Notification

Form Number	DSS-5009
Agency/Division	Social Services (DSS)
Form Effective Date	2020-12-30T18:00:00-04:00
Form File	DSS-5009-ia.pdf

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NC Department of Health and Human Services
2001 Mail Service Center
Raleigh, NC 27699-2001
919-855-4800

Division of Budget and Analysis
2001 Mail Service Center
Raleigh, NC 27699-2001
919-855-4850