Forms

Title Effective Date
DSS-5279: Request for Revocation of a Foster Home License Jun 03, 2016 11:05 AM
DSS-5280: Notice Foster Home Mandatory Criminal History Check Jun 03, 2016 11:05 AM
DSS-5281: Critical Incident Reporting Form Jun 03, 2016 11:10 AM
DSS-5282: Notification of CPS Involvement Jun 03, 2016 11:10 AM
DSS-5283: Regulatory and Licensing Services Complaint Form Jun 03, 2016 11:10 AM
DSS-5285: Child and Family Services Review Protocol for Pilot Counties Jun 03, 2016 11:15 AM
DSS-5286: Stakeholder Questionnaire Jun 03, 2016 11:15 AM
DSS-5287: NC DSS Child and Family Services Review Protocol Jun 03, 2016 11:15 AM
DSS-5288: Notice of Extension Hearing Jun 03, 2016 11:20 AM
DSS-5290-B: Notice of Work First 60-Month State Time Clock Starting Jan 27, 2020 01:44 PM
DSS-5290: Notice of Work First 24-Month State Time Clock Starting Jun 03, 2016 11:20 AM
DSS-5291: Indian Child Welfare Act Compliance Checklist Jun 03, 2016 11:20 AM
DSS-5292: Work First Participation Summary Jun 03, 2016 11:20 AM
DSS-5293: Notice of Hardship Exemption Hearing Jun 03, 2016 11:25 AM
DSS-5294: Notice of Decision on Hardship Exemption Request Jun 03, 2016 11:25 AM
DSS-5295: Monthly Permanency Planning Contact Record Nov 25, 2019 10:35 AM
DSS-5295ins: Monthly Permanency Planning Contact Record Instructions Nov 25, 2019 10:40 AM
DSS-5297: Consent for Release of Confidential Information Jun 03, 2016 11:30 AM
DSS-5298: North Carolina's Work First Family Assessment of Strengths and Needs Jun 03, 2016 11:30 AM
DSS-5299: 24-Month Time Limit Checklist Jun 03, 2016 11:30 AM
DSS-5300: Notice of Decision on Extension Request Jun 03, 2016 11:30 AM
DSS-5301: Extension Hearing Request Jun 03, 2016 11:35 AM
DSS-5302: Work First Extension/Exemption Monthly Report Jun 03, 2016 11:35 AM
DSS-5303: Request for NC Kids Child Registration Exemption Mar 15, 2017 11:35 AM
DSS-5304: Legal Risk Placement Agreement Jun 03, 2016 11:40 AM
DSS-5305: Purchase of Adoption Services Agreement Jun 03, 2016 11:40 AM
DSS-5306: Adoption Assistance Suspension Notice Nov 09, 2010 04:55 PM
DSS-5307: Adoption Assistance Agreement Amendment Jun 03, 2016 11:40 AM
DSS-5308: Adoption Assistance Termination Notice Jun 03, 2016 11:45 AM
DSS-5309: Excused Absence Log (For Unpaid Activities) Jun 03, 2016 11:45 AM