DSS-1682: Report of Erroneous Issuance
|
Aug 01, 2023 02:45 PM
|
DSS-1688: Designation of Authorized Representative
|
Jun 03, 2016 02:45 PM
|
DSS-1700: Application Worksheet
|
Oct 01, 2023 03:05 PM
|
DSS-1783: Annual Statistical Report for Residential Child Care Facility
|
Jun 03, 2016 02:50 PM
|
DSS-1789: Voluntary Placement Agreement
|
Jun 03, 2016 03:25 PM
|
DSS-1796: Agency/Foster Parents Agreement
|
Jan 28, 2020 09:08 AM
|
DSS-1797: Inter-County Agreement on the Placement of Children
|
Jun 03, 2016 03:30 PM
|
DSS-1798: Inter-Agency Adoption Agreement
|
Jun 03, 2016 03:35 PM
|
DSS-1800: Petition for Adoption of a Minor Child
|
Jun 03, 2016 03:35 PM
|
DSS-1801: Agency's Consent to Adoption
|
Jun 03, 2016 03:40 PM
|
DSS-1802: Consent to Adoption by Parent, Guardian, or Guardian Ad Litem of the Mother/Father
|
Dec 16, 2019 11:50 AM
|
DSS-1803: Consent of Child for Adoption
|
Dec 16, 2019 11:50 AM
|
DSS-1804: Relinquishment of Minor for Adoption by Parent or Guardian
|
Dec 16, 2019 11:50 AM
|
DSS-1805: Revocation of Relinquishment for Adoption by Parent, Guardian, or Guardian Ad Litem of the Mother/Father
|
Jun 03, 2016 03:45 PM
|
DSS-1806: Revocation of Consent to Adoption by Parent, Guardian, or Guidian Ad Litem of the Mother/Father
|
Jun 03, 2016 03:45 PM
|
DSS-1807: Order for Report on Proposed Adoption
|
Jun 03, 2016 03:50 PM
|
DSS-1808: Report on Proposed Adoption
|
Feb 04, 2020 11:20 AM
|
DSS-1808ins: Instructions for Completing Form DSS-1808
|
Nov 05, 2019 10:20 AM
|
DSS-1809: Affidavit of Parentage
|
Jun 03, 2016 03:55 PM
|
DSS-1810: Guardianship Assistance Agreement
|
Jan 01, 2017 03:55 PM
|
DSS-1811: Medical Examination
|
Jun 03, 2016 03:55 PM
|
DSS-1812: General Authorization for Treatment and Medication
|
Jun 03, 2016 04:00 PM
|
DSS-1812ins: General Authorization for Treatment and Medication Instructions
|
Jun 03, 2016 04:00 PM
|
DSS-1813: Guardianship Assistance Eligibility Checklist
|
Feb 04, 2020 11:20 AM
|
DSS-1814: Decree of Adoption
|
Mar 15, 2017 04:00 PM
|
DSS-1815: Report to Vital Records (Not Stepparent or Adult)
|
Feb 04, 2020 11:20 AM
|
DSS-1816: Dismissal of Adoption
|
Mar 15, 2017 04:05 PM
|
DSS-1820: NC Kids Child Registration Form
|
Nov 25, 2019 09:55 AM
|
DSS-1820ins: NC Kids Child Registration Form Instructions
|
Nov 27, 2019 03:24 PM
|
DSS-1821: NC Kids Family Registration Form
|
Nov 25, 2019 09:55 AM
|
DSS-1821ins: NC Kids Family Registration Form Instructions
|
Nov 27, 2019 03:27 PM
|
DSS-1837: Interstate Compact on the Placement of Children Request (ICPC 100A)
|
Jun 03, 2016 04:10 PM
|
DSS-1837I: Instructions for Completing Form ICPC-100A Interstate Compact on the Placement of Children Request
|
Jun 03, 2016 04:10 PM
|
DSS-1838: Interstate Compact Report on Child's Placement Status (ICPC 100B)
|
Jun 03, 2016 04:15 PM
|
DSS-1838I: Instructions for Completing Form ICPC-100B Interstate Compact Report on Child's Placement Status
|
Jun 03, 2016 04:10 PM
|
DSS-1839: Regulation 7 Form Order for Expedited Placement Decision Pursuant to the ICPC
|
Jun 03, 2016 04:15 PM
|
DSS-1840: Regulation # 7 Case Manager Statement of Interest
|
Jun 03, 2016 04:15 PM
|
DSS-1841: Regulation # 2 Case Manager Statement of Interest
|
Jun 03, 2016 04:15 PM
|
DSS-2141: Monthly Requisition For Forms
|
Jun 03, 2016 04:20 PM
|
DSS-2203: Daysheet
|
Jun 03, 2016 04:20 PM
|
DSS-2204: Day Summary Sheet
|
Jun 03, 2016 04:20 PM
|
DSS-2216: Request for Record
|
Jun 03, 2016 04:20 PM
|
DSS-2239: IV-D Legal Services Bill
|
Jun 03, 2016 04:25 PM
|
DSS-2249: Affidavit Of Adoption Expenditures
|
Jun 03, 2016 04:25 PM
|
DSS-2250: Adoption Assistance Payment Authorization Notice
|
Jun 03, 2016 07:55 AM
|
DSS-2435i: Food and Nutrition Services (FNS) Notice of Expiration and Interview Recertification Form
|
Sep 01, 2023 08:10 PM
|
DSS-2435r: Food and Nutrition Services (FNS) Notice of Expiration Recertification Form
|
Oct 01, 2022 07:00 PM
|
DSS-2435sri: Rights and Responsibilities
|
Mar 23, 2017 08:00 AM
|
DSS-2624: Food and Nutrition Services Referral Form
|
Jun 03, 2016 08:00 AM
|
DSS-2625: Food and Nutrition Services E&T Information Transmittal
|
Jun 03, 2016 08:00 AM
|
DSS-2807-II: Part II, Report on Local Hearings
|
Jun 03, 2016 08:25 AM
|
DSS-2807: Part 1, Report on Local Hearings - Summary
|
Jun 03, 2016 08:20 AM
|
DSS-3431: Request for Financial Information
|
Jun 03, 2016 08:30 AM
|
DSS-4278: Reunification Referring Agency Referral Form
|
Jun 03, 2016 08:30 AM
|
DSS-4279: Intensive Family Preservation Referring Agency Referral Form
|
Jun 03, 2016 08:35 AM
|
DSS-4451: Application for Child Support Services
|
Apr 01, 2022 08:35 AM
|
DSS-4718: CSE Direct Deposit Authorization
|
Jun 03, 2016 08:35 AM
|
DSS-4746: Transmittal Request for Past Paid Public Assistance (PPPA)
|
Feb 08, 2024 03:35 PM
|
DSS-5002: Child Welfare Services Corrective Action Plan
|
Jul 09, 2018 08:40 AM
|
DSS-5009: Fatality Notification
|
Dec 30, 2020 05:00 PM
|
DSS-5009A: Instructions for Fatality Notification
|
Dec 30, 2020 05:05 PM
|
DSS-5010: Structured Documentation Instrument for CPS Assessments
|
Jul 01, 2023 10:40 AM
|
DSS-5010a: Continuing Need and Safety Requirements
|
Nov 27, 2019 03:25 PM
|
DSS-5010ins: NC CPS Assessments Documentation Tool (DSS-5010) Instructions
|
Jun 29, 2023 10:40 AM
|
DSS-5012: Adoption Assistance Eligibility Checklist
|
Nov 25, 2019 10:00 AM
|
DSS-5013: North Carolina Adoption Assistance Agreement
|
Aug 16, 2018 08:45 AM
|
DSS-5015: Foster Care Facility Action Request
|
Nov 15, 2007 08:45 AM
|
DSS-5016: Foster Home License Application
|
Jun 03, 2016 08:55 AM
|
DSS-5017: Medical History Form
|
Jun 03, 2016 08:55 AM
|
DSS-5018: Foster Home Licensing Water Hazard Safety Assessment Form
|
Oct 10, 2018 09:00 AM
|
DSS-5018a: Foster Home Licensing Individual Water Hazard Safety Plan
|
Oct 10, 2018 09:00 AM
|
DSS-5022: Refugee Work Registration Certification, Employment/Refusal and Termination/Denial Notice
|
Jul 01, 2022 09:00 AM
|
DSS-5023: Direct Deposit Enrollment Authorization Form
|
Sep 10, 2020 05:05 PM
|
DSS-5027: Client Entry Form
|
Mar 30, 2021 09:05 AM
|
DSS-5027A: Client Entry - Purchase of Service Provider Form
|
Dec 01, 2021 03:10 PM
|
DSS-5030: Confidential Intermediary Agreement
|
Jun 03, 2016 09:05 AM
|
DSS-5031: Application for Confidential Intermediary Services
|
Mar 15, 2017 09:05 AM
|
DSS-5032: Consent to Release of Information and/or Contact
|
Jun 03, 2016 09:05 AM
|
DSS-5033: Release of Liability and Agreement to Hold Harmless
|
Jun 03, 2016 09:10 AM
|
DSS-5094: Child Placement and Payment Report
|
Nov 02, 2020 09:10 AM
|
DSS-5094a: Foster Care Visit Report
|
Apr 12, 2019 04:25 PM
|
DSS-5094c: Child Placement and Payment Report Continuation Page
|
Feb 16, 2017 04:25 PM
|
DSS-5095: NC DSS Child Placement and Payment System Adoption Assistance
|
Jan 27, 2017 09:15 AM
|
DSS-5096a: Transitional Living Plan For Youth/Young Adults in Foster Care
|
Feb 27, 2019 09:15 AM
|
DSS-5096b: Transitional Living Plan - 90 Day Transition Plan for Youth in Foster Care
|
Feb 28, 2019 09:15 AM
|
DSS-5096c: Transitional Living Plan - 90 Day Transition Plan For Young Adults In Foster Care 18 to 21
|
Apr 01, 2018 09:15 AM
|
DSS-5096d: Transitional Living Plan - Helpful Resources For Young Adults
|
Apr 15, 2019 09:20 AM
|
DSS-5097: Voluntary Placement Agreement for Foster Care 18 to 21
|
Feb 28, 2017 09:20 AM
|
DSS-5098: North Carolina Monthly Contact Record For Foster Care 18 to 21
|
Feb 21, 2017 09:20 AM
|
DSS-5099: Placement Agreement For Foster Care 18 to 21
|
Feb 28, 2017 09:25 AM
|
DSS-5100: Semi-Supervised Independent Living Assessment Tool
|
Feb 28, 2017 09:25 AM
|
DSS-5102: NC DSS Non-Identifying Background Information
|
Dec 06, 2019 09:50 AM
|
DSS-5103: Adoption Health History
|
Jun 03, 2016 09:25 AM
|
DSS-5104: Report to Central Registry/CPS Application
|
Jul 22, 2020 04:35 PM
|
DSS-5104: Report to Central Registry/CPS Application
|
Jul 22, 2020 02:35 PM
|
DSS-5104a: Responsible Individuals List Form
|
Jun 03, 2016 09:30 AM
|
DSS-5104c: Central Registry Report Continuation Page-Children
|
Aug 10, 2020 10:15 AM
|
DSS-5104d: Modification/Deletion Request Form
|
Jun 03, 2016 09:35 AM
|
DSS-5104p: Central Registry Report Continuation Page - Perpetrator
|
Jun 03, 2016 09:35 AM
|
DSS-5105: North Carolina Diligent Efforts to Identify and/or Locate
|
Dec 03, 2018 09:35 AM
|
DSS-5106: North Carolina Multiple Response System Case Tracking Form
|
Jun 03, 2016 09:40 AM
|
DSS-5108A: DSS/Student Contractual Agreement for Continuing Residential Support CARS - Six Month Review
|
Jun 03, 2016 09:40 AM
|
DSS-5112: Adoption Assistance Vendor Payment Request Form
|
Aug 11, 2011 04:35 PM
|
DSS-5113: Adoption Services Agreement
|
Nov 29, 2018 09:50 AM
|
DSS-5115: Adoption Assistance Vendor Payment Instructions for Providers
|
Jun 03, 2016 09:55 AM
|
DSS-5118: Denial of Paternity
|
Jun 03, 2016 09:55 AM
|
DSS-5120: Determination of Foster Care Assistance Benefits and/or Medical Assistance Only
|
Jun 03, 2016 10:15 AM
|
DSS-5120A: Re-determination of Foster Care Assistance Benefits and/or Medical Assistance Only
|
Jun 03, 2016 09:55 AM
|
DSS-5120B: Additional Siblings in Removal Home
|
Jun 03, 2016 10:15 AM
|
DSS-5120C: Additional Members of the Family Assistance Unit
|
Jun 03, 2016 10:15 AM
|
DSS-5120E: Determination Of Foster Care 18 to 21 Assistance Benefits and/or Medical Assistance Only
|
Mar 06, 2017 10:15 AM
|
DSS-5133: Foster Child Notification of Placement (Change) Form
|
Apr 03, 2019 10:20 AM
|
DSS-5133ins: Foster Child Notification of Placement (Change) Form Instructions
|
May 01, 2022 10:20 AM
|
DSS-5135: Foster Child Immediate Enrollment Form
|
Feb 27, 2017 10:20 AM
|
DSS-5137: Best Interest Determination Form
|
Apr 15, 2019 10:25 AM
|
DSS-5137a: North Carolina Best Interest Determination Meeting Override
|
Feb 28, 2019 04:40 PM
|
DSS-5143: Consent/Authorization For Medical/Mental Health Evaluation
|
Nov 20, 2020 11:45 AM
|
DSS-5145: State of North Carolina Application for Reimbursement of Non-Recurring Adoption Costs
|
Mar 15, 2017 10:25 AM
|
DSS-5146: Agreement for Reimbursement of Non-Recurring Adoption Costs
|
Jun 03, 2016 10:30 AM
|
DSS-5150: Foster Home Environmental Conditions Report
|
Jun 03, 2016 12:35 PM
|
DSS-5156: Medical Evaluation
|
Jun 03, 2016 12:35 PM
|
DSS-5157: Foster Home Relicense, Termination and Change Request Application
|
May 20, 2019 12:40 PM
|
DSS-5158: Foster Home Transfer Request Application
|
Jun 03, 2016 12:40 PM
|
DSS-5159: Foster Home Change Request Application
|
May 20, 2019 12:40 PM
|
DSS-5160: Foster Home Termination Application
|
Oct 14, 2021 03:25 PM
|
DSS-5162: Petition for Adoption of a Minor Child (Step-parent)
|
Jun 03, 2016 02:05 PM
|
DSS-5163: Petition for Adult Adoption
|
Jun 03, 2016 02:05 PM
|
DSS-5164: Consent to Adoption by Adult Adoptee
|
Jun 03, 2016 02:10 PM
|
DSS-5165: Consent to Adult Adoption by Spouse of Petitioner
|
Mar 15, 2017 02:20 PM
|
DSS-5166: Decree of Adult Adoption
|
Mar 15, 2017 02:20 PM
|
DSS-5167: Report to Vital Records for Adult Adoption
|
Dec 10, 2019 11:40 AM
|
DSS-5168: Revocation of Child's Consent to Adoption
|
Jun 03, 2016 02:25 PM
|
DSS-5169: Consent of Child for Adoption (Step-parent Adoption)
|
Jun 03, 2016 02:25 PM
|
DSS-5170: Report to Vital Records (Stepparent Adoption)
|
Dec 10, 2019 11:40 AM
|
DSS-5189: Consent to Adoption by Parent Who is Spouse of Stepparent
|
Jun 03, 2016 02:30 PM
|
DSS-5189I: Notice to Parent of Proposed Change in Placement of Child(ren)
|
Sep 27, 2019 10:35 AM
|
DSS-5189II: Notice to Parent Regarding Proposed Change in the Placement of Child(ren)
|
Nov 25, 2019 10:00 AM
|
DSS-5189III: Notice to Permanency Planning Review
|
Sep 27, 2019 10:35 AM
|
DSS-5189IV: Notice to Parent Regarding Permanency Planning Review Outcome
|
Nov 25, 2019 10:00 AM
|
DSS-5190: Consent to Adoption by Parent Who Is Not the Stepparent's Spouse
|
Jun 03, 2016 02:45 PM
|
DSS-5191: Affidavit - Disclosure of Fees & Expenses
|
Jun 03, 2016 02:45 PM
|
DSS-5199: Foster Home Request for Waiver
|
Jun 03, 2016 02:50 PM
|
DSS-5201: Understanding Foster Care - A Handbook for Parents
|
Jun 03, 2016 02:50 PM
|
DSS-5203: Initial Provider Assessment
|
Dec 05, 2019 12:10 PM
|
DSS-5203ins: Initial Provider Assessment Instructions
|
Dec 04, 2019 04:25 PM
|
DSS-5204: Comprehensive Provider Assessment
|
Sep 26, 2019 10:55 AM
|
DSS-5204ins: Instructions for Comprehensive Provider Assessment
|
Sep 26, 2019 11:00 AM
|
DSS-5206: Health Summary Form - Initial Visit
|
Jun 03, 2016 02:55 PM
|
DSS-5207: Health History Form
|
Jun 03, 2016 03:00 PM
|
DSS-5207ins: Health History Form Instructions
|
Jun 03, 2016 03:00 PM
|
DSS-5208: Health Summary Form - 30-day Comprehensive Visit
|
Jun 03, 2016 03:00 PM
|
DSS-5209: Health Summary Form - Well-Visit
|
Jun 03, 2016 03:05 PM
|
DSS-5211: Special Children's Adoption Incentive Fund - Request for Payment
|
Jun 03, 2016 03:05 PM
|
DSS-5212: Supplemental Adoption Assistance Agreement
|
Jun 03, 2016 03:05 PM
|
DSS-5213: Verification of Child's Need for Daily Supervision
|
Jun 03, 2016 03:10 PM
|
DSS-5214: Agency Verification of Legal Custody and Child's Living Arrangement for Past Six Months
|
Jun 03, 2016 03:10 PM
|
DSS-5215: Verification of Child's Health Condition
|
Jun 03, 2016 03:10 PM
|
DSS-5217: Request for Reimbursement Of Links Special Funds
|
Jun 03, 2016 03:10 PM
|
DSS-5218: Consent to Release of Identifying Information
|
Jun 03, 2016 03:15 PM
|
DSS-5219: Certificate of Delivery of Preplacement Assessment
|
Jun 03, 2016 03:15 PM
|
DSS-5225: Request for NC KIDS Legal Risk Search
|
Mar 15, 2017 03:20 PM
|
DSS-5226: NC SDM Family Risk ReAssessment
|
Jun 03, 2016 03:20 PM
|
DSS-5227: NC SDM Family Reunification Assessment
|
Jun 03, 2016 03:20 PM
|
DSS-5229: North Carolina Family Assessment of Strengths and Needs
|
Apr 30, 2019 03:20 PM
|
DSS-5230: NC SDM Family Risk Assessment of Child Abuse/Neglect
|
Jun 03, 2016 03:25 PM
|
DSS-5231: North Carolina Safety Assessment
|
Mar 06, 2017 03:25 PM
|
DSS-5231ins: North Carolina Safety Assessment Instructions
|
Jan 01, 2017 03:25 PM
|
DSS-5233: Personalized Domestic Violence Safety Plan
|
Jun 03, 2016 03:25 PM
|
DSS-5234: Domestic Violence Perpetrator Assessment Tool
|
Jun 03, 2016 03:30 PM
|
DSS-5235 - Non-Offending Parent/Adult Victim Domestic Violence Assessment Tool
|
Jun 03, 2016 05:15 PM
|
DSS-5236: North Carolina Monthly In-Home Contact Record
|
Nov 25, 2019 10:00 AM
|
DSS-5236ins - North Carolina Monthly In-Home Contact Record Instructions
|
Nov 25, 2019 10:05 AM
|
DSS-5236ins: North Carolina Monthly In-Home Contact Record Instructions
|
Nov 25, 2019 10:35 AM
|
DSS-5237: Children’s Domestic Violence Assessment Tool
|
Jun 03, 2016 07:45 AM
|
DSS-5238: DSS Referral Form for Early Intervention Services (CDSA)
|
Dec 04, 2019 04:20 PM
|
DSS-5239: In Home Family Services Agreement
|
Feb 18, 2020 10:00 AM
|
DSS-5239ins: In-Home family Services Agreement Completion Instructions
|
Feb 18, 2020 10:05 AM
|
DSS-5240: Permanency Planning Family Services Agreement
|
Dec 16, 2019 04:55 PM
|
DSS-5240ins: Permanency Planning Family Services Agreement Instructions
|
Dec 12, 2019 10:05 AM
|
DSS-5241: Permanency Planning Review
|
Dec 23, 2019 12:30 PM
|
DSS-5241ins: Permanency Planning Review Instructions
|
Dec 12, 2019 10:05 AM
|
DSS-5242: Family Time and Contact Plan (Visitation)
|
Sep 27, 2019 10:50 AM
|
DSS-5245: Child Education Status
|
Nov 25, 2019 10:35 AM
|
DSS-5245ins: Child Education Status Instructions
|
Nov 25, 2019 10:35 AM
|
DSS-5246: Information Sharing Achnowledgement
|
Mar 15, 2017 08:20 AM
|
DSS-5247: Information Sharing Partnership Agreement
|
Jun 03, 2016 08:20 AM
|
DSS-5248: ICAMA Form 6.02, Notice of Action
|
Jun 03, 2016 08:20 AM
|
DSS-5249: Icama Form 6.01, Notice of Medicaid Eligibility/Case Activation
|
Jun 03, 2016 08:25 AM
|
DSS-5250: ICAMA Form 6.03, Report of Change in Child(ren) Family Status
|
Jun 03, 2016 08:25 AM
|
DSS-5251: ICPC Financial-Medical Plan
|
Jun 03, 2016 08:25 AM
|
DSS-5252: ICPC Sending State Priority Home Study Request
|
Dec 16, 2019 11:50 AM
|
DSS-5253: ICPC Receiving State Priority Home Study Request
|
Dec 16, 2019 11:55 AM
|
DSS-5255: ICPC Checklist for Interstate Placement Requests
|
Jun 03, 2016 08:30 AM
|
DSS-5256: Drug Endangered Children Protocol: Initial Medical Assessment
|
Jun 03, 2016 08:30 AM
|
DSS-5257: Drug Endangered Children Protocol - Placement Guidelines
|
Dec 22, 2022 08:40 AM
|
DSS-5258: Protocol for Field Assessment to Determine Need for On-Scene Decontamination Prior to Transport
|
Jun 03, 2016 10:35 AM
|
DSS-5259: Drug Endangered Children Protocol: Exposure Record
|
Jun 03, 2016 10:35 AM
|
DSS-5260: Drug Endangered Children Protocol Feedback Form: Law Enforcement
|
Jun 03, 2016 10:35 AM
|
DSS-5261: Drug Endangered Children Protocol Feedback Form: Social Worker
|
Jun 03, 2016 10:35 AM
|
DSS-5262: Drug Endangered Children Protocol Feedback Form: Health Care Provider
|
Jun 03, 2016 10:45 AM
|
DSS-5263: Drug Endangered Children Protocol Feedback Form: Foster Care Provider
|
Jun 03, 2016 10:45 AM
|
DSS-5264: Family Support Parent and Family Questionnaire - Client Satisfaction Survey
|
Dec 10, 2019 11:40 AM
|
DSS-5266: 24 Month Time Limit
|
Jun 03, 2016 10:50 AM
|
DSS-5267: 60 Month Lifetime Limit
|
Jun 03, 2016 10:50 AM
|
DSS-5268: Responsible Individuals List (RIL) Information Request
|
Aug 18, 2020 02:55 PM
|
DSS-5271: Individual Criminal Violations Declaration Statement
|
Jun 03, 2016 10:55 AM
|
DSS-5272: Facility ID Number Application
|
Jan 01, 2021 10:55 AM
|
DSS-5273: Verification of Participation
|
Jun 03, 2016 11:00 AM
|
DSS-5274: Request for Adjustment to Foster Care Assistance Payment
|
Jun 03, 2016 11:00 AM
|
DSS-5275: North Carolina Residency Declaration
|
Jun 03, 2016 11:00 AM
|
DSS-5276: North Carolina Residency Applicant Statement
|
Jun 03, 2016 11:00 AM
|
DSS-5277: Request for Confidential Information Regarding Child Abuse, Neglect and/or Dependency
|
Mar 26, 2020 04:50 PM
|
DSS-5278: Request for Placement Evaluation for Infant Born to an Incarcerated Mother
|
Jun 03, 2016 11:05 AM
|
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 02, 2022 09:55 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
|
May 28, 2021 10:35 AM
|
DSS-5295ins: Monthly Permanency Planning Contact Record Instructions
|
May 28, 2021 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
|
DSS-5310: Model Court Report for Dispositional and Review Hearings
|
Jun 03, 2016 11:45 AM
|
DSS-5311: Model Court Report for Permanency Planning Hearings
|
Apr 18, 2018 11:50 AM
|
DSS-5312: Model Court Report for Post Termination of Parental Rights Hearings
|
Jun 03, 2016 11:50 AM
|
DSS-5313: Work Registration Indicator
|
Feb 12, 2018 11:50 AM
|
DSS-5314: Sample Letter for Annual Adoptions Assistance Eligibility Review
|
Jun 03, 2016 11:55 AM
|
DSS-5316: Relative Interest Form
|
Dec 01, 2023 11:55 AM
|
DSS-5317: Relative Notification Letter
|
Jun 03, 2016 11:55 AM
|
DSS-5318: Relative Search Information
|
Jun 03, 2016 11:55 AM
|
DSS-5320: DSS - Monthly Adoption Reporting Form
|
Nov 29, 2018 12:00 PM
|
DSS-5320a: Contract Agency - Monthly Adoption Reporting & Payment Form
|
Nov 29, 2018 12:00 PM
|
DSS-5321: Workers Compensation Fraud in North Carolina
|
Jun 03, 2016 12:00 PM
|
DSS-5322: Report of Injuries to Work First Participants in Work Experience/Community Service
|
Jun 03, 2016 12:35 PM
|
DSS-5324: Adoptive Placement Agreement
|
Nov 30, 2009 12:35 PM
|
DSS-5325: Substance Use Behavioral Indicator Checklist II
|
Jun 03, 2016 12:35 PM
|
DSS-5326: Teen Pregnancy Prevention and Healthy Marriage Initiatives Fact Sheet
|
Jun 03, 2016 12:40 PM
|
DSS-5327: Learning Needs Screening Tool
|
Jun 03, 2016 12:40 PM
|
DSS-5328: Request to Cancel Direct Deposit
|
Jun 01, 2018 12:40 PM
|
DSS-5329: Complaint Procedures for the Work First Program
|
Jun 03, 2016 12:40 PM
|
DSS-5330: Learning Needs Screening Tool Waiver & Consent Agreement
|
Jun 03, 2016 12:45 PM
|
DSS-5331: ICPC Supervision Report - 30 Days
|
Dec 13, 2010 10:45 AM
|
DSS-5332: ICPC Supervision Report - 90 Days
|
Jun 03, 2016 02:05 PM
|
DSS-5333: Americans with Disabilities Act - Did you know?
|
Jun 03, 2016 02:10 PM
|
DSS-5334: Notice of Requirement to Cooperate and Right to Claim Good Cause for Refusal to Cooperate in Child Support Enforcement
|
Jun 03, 2016 02:10 PM
|
DSS-5335: Consent to Explore American Indian Heritage
|
Jun 03, 2016 02:15 PM
|
DSS-5336: Fostering Connections/Tribal Relative Search (DSS-5336) Instructions
|
Jun 03, 2016 02:15 PM
|
DSS-5337-C: Request for Patient Information
|
Dec 23, 2020 01:25 PM
|
DSS-5339: CPS Expansion (TANF Transfer to SSBG) Eligibility Documentation Form
|
Jun 03, 2016 02:15 PM
|
DSS-5340: TANF Federal Time Clock Verification Request
|
Jun 03, 2016 02:15 PM
|
DSS-5401 Consent Form for a Clinical Assessment of Protective Parenting (CAPP)
|
Jun 10, 2022 08:10 AM
|
DSS-5758: Supplemental Board Payment for HIV Positive Foster Children Request for Reimbursement
|
Jun 03, 2016 02:20 PM
|
DSS-5759: Request for Supplemental Adoption Assistance for HIV Positive Adopted Children
|
Jun 03, 2016 02:20 PM
|
DSS-5760 Verification of Custody Letter
|
May 01, 2022 03:35 PM
|
DSS-5800: Unlicensed Kinship Payment Eligibility Checklist
|
Nov 01, 2023 08:30 AM
|
DSS-5801: Unlicensed Kinship Form-Facility ID Request
|
Nov 01, 2023 08:30 AM
|
DSS-5802: Unlicensed Kinship Acknowledgment
|
Nov 01, 2023 08:30 AM
|
DSS-5960: Law Enforcement and District Attorney Notification
|
Aug 25, 2020 02:15 PM
|
DSS-6187: Application for State Maternity Funds (Voucher, Social History & Service Plan) Problem Pregnancy Services
|
Jan 23, 2020 01:05 PM
|
DSS-6187I: Instructions for Completing Application for State Maternity Fund DSS-6187
|
Jan 23, 2020 01:05 PM
|
DSS-6188: Notice of Action on Request for State Maternity Home Funds
|
Jun 03, 2016 02:25 PM
|
DSS-6189: State Maternity Fund Residential Care Provider Agreement
|
Jun 03, 2016 02:25 PM
|
DSS-6190 Rapid Response Team Referral Form
|
Apr 08, 2022 08:53 AM
|
DSS-6191 Plan of Safe Care State Form
|
Oct 01, 2022 02:55 PM
|
DSS-6192: Safe Surrender Health and Information Form
|
Nov 01, 2023 04:20 PM
|
DSS-6211: State Abortion Fund Eligibility Certification
|
May 01, 2006 05:00 PM
|
DSS-6226: NC Division of Vocational Rehabilitation Services and County Social Services Agency/Department Referral
|
Oct 26, 2016 02:35 PM
|
DSS-6228: NC Vocational Skills Training and Skills Recertifiation Plan (DSS-6228)
|
Oct 01, 2022 02:35 PM
|
DSS-6229: NC Vocational Skills Training And Skills Recertification Agreement Plan of Action Requirements (DSS-6229)
|
Aug 01, 2022 02:40 PM
|
DSS-6230A: Family Self-Sufficiency Plan
|
Aug 01, 2022 02:40 PM
|
DSS-6230B: Family Self Sufficiency Plan
|
Aug 01, 2022 03:25 PM
|
DSS-6231: NC State Refugee Office Service Plan
|
Nov 01, 2023 02:45 PM
|
DSS-6232: NC State Refugee Office Employability Plan
|
Dec 01, 2023 02:45 PM
|
DSS-6233: Client (ELT) Service Plan
|
Sep 01, 2022 02:45 PM
|
DSS-6234: ELT Learner Initial Assessment Form
|
Jun 13, 2023 11:05 AM
|
DSS-6235: Case Review Form
|
Aug 01, 2022 02:50 PM
|
DSS-6236: Informed Consent For Release Of Information
|
Aug 01, 2022 02:50 PM
|
DSS-6237: DSS Refugee Client Rights Form
|
Aug 01, 2022 02:50 PM
|
DSS-6238: Refugee Cash Assistance Eligibility Monitoring Guide
|
Mar 22, 2022 08:00 AM
|
DSS-6239A: Refugee Mutual Responsibility Agreement
|
Aug 01, 2022 02:55 PM
|
DSS-6239B: Refugee MRA Plan of Action Requirements
|
Aug 01, 2022 03:00 PM
|
DSS-6240: Simplified Nutritional Assistance Program (SNAP) Application
|
Oct 01, 2023 11:15 AM
|
DSS-6241: Refugee Cash Assistance (RCA) Application
|
Jun 29, 2022 03:00 PM
|
DSS-6242: Refugee Medical Assistance (RMA) Application
|
Jun 29, 2022 03:05 PM
|
DSS-6246: Affidavit of Paternity
|
Jun 03, 2016 03:05 PM
|
DSS-6247: Notification of Refugee Arrival and Intent to Apply for Benefits
|
Jun 29, 2022 03:05 PM
|
DSS-6250: Legal Service Plan
|
Nov 01, 2023 03:15 PM
|
DSS-6852: Authorization / Receipt for Direct Payment
|
Jun 03, 2016 03:10 PM
|
DSS-6901: Work First Employment Services Assessment Form
|
Jun 03, 2016 03:10 PM
|
DSS-6902: Screening for Child Well Being
|
Mar 16, 2017 03:10 PM
|
DSS-6904: Work First Information Transmittal
|
Jun 03, 2016 03:10 PM
|
DSS-6905: Work Experience/Community Service Agreement
|
Feb 12, 2018 03:15 PM
|
DSS-6960: Job Search/Verification Log
|
Jun 01, 2018 03:15 PM
|
DSS-6961: Verification of Household Composition
|
Jun 01, 2017 03:15 PM
|
DSS-6962: Workers Compensation Guide for Work First Participants In Work Experience and Community Service Activities
|
Feb 12, 2018 03:45 PM
|
DSS-6963a: Mutual Responsibility Agreement - Core Requirements
|
Jun 03, 2016 03:45 PM
|
DSS-6963b: Mutual Responsibility Agreement Plan of Action Requirements
|
Jun 03, 2016 03:45 PM
|
DSS-6963c: Mutual Responsibility Agreement Plan of Action Requirements for Work First Services
|
Jun 03, 2016 03:50 PM
|
DSS-6964: Program Reference Guide
|
Feb 12, 2018 03:50 PM
|
DSS-6965: Family Violence Option/Domestic Violence Work First Assessment
|
Jun 03, 2016 03:50 PM
|
DSS-6966: Notification of Family Violence Option
|
Jun 03, 2016 03:55 PM
|
DSS-6967: Family Violence Option Brochure
|
Aug 07, 2023 01:24 PM
|
DSS-6968: Screening for Domestic Violence
|
Jun 03, 2016 04:00 PM
|
DSS-6969: Consent for Release of Information
|
Jun 03, 2016 04:05 PM
|
DSS-8104: Second Notice of Right to Claim Good Cause for Refusal to Cooperate in Child Support Enforcement
|
Jun 03, 2016 04:05 PM
|
DSS-8105A Water Assistance Program-Notice of Approval
|
Nov 24, 2021 08:20 AM
|
DSS-8105B Water Assistance Program-Notice of Denial
|
Nov 24, 2021 08:20 AM
|
DSS-8105C Water Assistance Program-Notice of Withdrawal
|
Nov 24, 2021 08:25 AM
|
DSS-8107: Energy Programs Notice of Approval/Denial
|
Jul 09, 2018 04:10 PM
|
DSS-8107b: Energy Programs Action Notice
|
Dec 04, 2020 01:09 PM
|
DSS-8108: Notice of Benefits
|
Aug 27, 2019 12:55 PM
|
DSS-8109: Your Application for Benefits is Being Denied or Withdrawn
|
Aug 27, 2019 01:00 PM
|
DSS-8110: Notice of Modification, Termination, or Continuation of Public Assistance
|
Sep 25, 2019 04:00 PM
|
DSS-8113: Wage Verification Form
|
Jun 03, 2016 04:15 PM
|
DSS-8115: LIEAP Denial Notice
|
Jun 03, 2016 04:15 PM
|
DSS-8116I: Low Income Energy Assistance Program Eligibility Worksheet
|
Jun 03, 2016 04:15 PM
|
DSS-8117: North Carolina's Energy Programs Brochure
|
Jun 03, 2016 04:15 PM
|
DSS-8118: Certification Utilities Moratorium
|
Jun 03, 2016 07:50 AM
|
DSS-8119: Energy Programs Outreach Plan
|
Jun 10, 2019 07:55 AM
|
DSS-8124: Application for Work First Family Assistance, MA, Refugee, and SA
|
Jun 03, 2016 08:30 AM
|
DSS-8124a: EIS Application for Work First Family Assistance, MA, Refugee, and SA
|
Jun 03, 2016 08:30 AM
|
DSS-8124b: Rights and Responsibilities
|
Jun 03, 2016 08:35 AM
|
DSS-8127: Work First Family Assistance Report
|
Jun 03, 2016 08:35 AM
|
DSS-8129: Request for Replacement Check
|
Jun 03, 2016 08:35 AM
|
DSS-8131: Change in Situation Report
|
May 26, 2005 11:30 AM
|
DSS-8137: Notice of Incomplete Work First Family Assistance Report
|
Jun 03, 2016 08:35 AM
|
DSS-8146A: Notice of Information Needed to Determine Your Eligibility for Work First Family Assistance
|
Jun 01, 2017 08:40 AM
|
DSS-8162 LIHWAP Agreement
|
Sep 21, 2021 04:40 PM
|
DSS-8163: Energy Provider Agreement
|
Jul 09, 2018 08:40 AM
|
DSS-8169: Work First Emergency Assistance Application
|
Jun 03, 2016 08:45 AM
|
DSS-8173: Release For Enumeration
|
Jun 03, 2016 08:45 AM
|
DSS-8174: Referral for Social Security Number Application
|
Jun 03, 2016 08:50 AM
|
DSS-8176: Contribution Form
|
Jun 03, 2016 08:50 AM
|
DSS-8178: Energy Programs Application
|
Oct 01, 2023 08:55 AM
|
DSS-8178A: Crisis Intervention Program Worksheet
|
Jun 03, 2016 08:55 AM
|
DSS-8178L: Low Income Energy Assistance Program Application (LIEAP)
|
Oct 01, 2023 08:55 AM
|
DSS-8185: Low Income Energy Assistance Program Crisis Intervention Program Information Needed
|
Nov 03, 2017 09:00 AM
|
DSS-8185A: Prepare for the Energy Program Application Interview
|
Oct 09, 2020 01:58 PM
|
DSS-8189: Appointment Notice
|
Jun 03, 2016 09:00 AM
|
DSS-8190ns: State County Special Assistance for Adults Workbook for Non-SSI Recipients Only
|
Jun 03, 2016 09:00 AM
|
DSS-8190s: State / County Special Assistance for Adults Workbook for SSI Recipients Only
|
Jun 03, 2016 09:05 AM
|
DSS-8191i: Work First / Medicaid Notice of Inquiry
|
Jun 03, 2016 09:05 AM
|
DSS-8191w: Work First / Medicaid Notice of Withdrawal
|
Jun 03, 2016 09:05 AM
|
DSS-8194: Income Maintenance Transmittal Form
|
Jun 03, 2016 09:05 AM
|
DSS-8196: Special Announcement Letter
|
Jun 03, 2016 09:35 AM
|
DSS-8197: Change in Caseworker Letter
|
Jun 03, 2016 09:35 AM
|
DSS-8200: Third Party Query Request
|
Jun 03, 2016 09:40 AM
|
DSS-8201: County Responsible Overpayment
|
Jun 03, 2016 09:40 AM
|
DSS-8205: Landlord Verification Letter
|
Jun 03, 2016 09:40 AM
|
DSS-8207: Application for Food and Nutrition Services
|
Sep 01, 2023 05:45 PM
|
DSS-8207ssi: SSI/Food Stamp Application
|
Jun 03, 2016 09:45 AM
|
DSS-8208: Medical Deduction Supplement
|
Jun 03, 2016 09:45 AM
|
DSS-8214: Emotional Health Inventory – 13 Item Version - Administration Guide
|
Jun 01, 2018 09:45 AM
|
DSS-8215: Substance Use Information
|
Jun 03, 2016 09:50 AM
|
DSS-8216: Frequently Asked Questions about Electronic Benefit Issuance
|
Jun 03, 2016 09:50 AM
|
DSS-8217: Electronic Benefit Transfer Account Debit Request
|
Aug 01, 2023 09:50 AM
|
DSS-8218: Alcohol Use Disorders Identification Test (Audit)
|
Jun 03, 2016 09:50 AM
|
DSS-8218A: Work First Program Substance Use Screening Notice
|
Jun 03, 2016 09:55 AM
|
DSS-8218B: Work First Program Testing Notice
|
Jun 03, 2016 09:55 AM
|
DSS-8219: Consent For Release of Confidential Information
|
Aug 16, 2019 03:45 PM
|
DSS-8220A: Timely Notice of Pending Termination 22 Months
|
Jun 03, 2016 10:05 AM
|
DSS-8220b: Timely Notice of Pending Termination 58 Months
|
Jun 03, 2016 10:10 AM
|
DSS-8220c: Timely Notice of Pending Termination Work First Family Assistance
|
Jun 03, 2016 10:40 AM
|
DSS-8221: What Happens If You Can't Meet Your Work Requirements Because Appropriate Child Care is Not Available?
|
Jun 03, 2016 10:40 AM
|
DSS-8222: Notice of Work First Family Assistance Job Bonus
|
Jun 03, 2016 10:40 AM
|
DSS-8223: Substance Use Referral Log
|
Jun 03, 2016 10:45 AM
|
DSS-8224: Work First Program Referral to Qualified Professional in Substance Abuse
|
May 01, 2023 04:15 PM
|
DSS-8225: Eligibility Worksheet
|
Apr 27, 2021 11:10 AM
|
DSS-8226: Letter of Overpayment
|
Jun 03, 2016 10:50 AM
|
DSS-8227: Important Information You Need to Know
|
Jun 03, 2016 10:50 AM
|
DSS-8228: Work First Cash Assistance Application and Review Documentation Workbook
|
Dec 21, 2017 10:50 AM
|
DSS-8230: Program Integrity Appointment Notice
|
Nov 21, 2017 11:15 AM
|
DSS-8231: Request for Information
|
Aug 01, 2023 11:15 AM
|
DSS-8232: Simplified Nutritional Assistance Program (SNAP) Notice of Expiration
|
Oct 01, 2023 12:55 PM
|
DSS-8234: NCEL Notice to Debtor
|
Jun 03, 2016 11:20 AM
|
DSS-8239: Alien Worksheet
|
Jun 03, 2016 11:20 AM
|
DSS-8240: Food and Nutrition Services Complaint Procedures
|
Oct 10, 2018 11:20 AM
|
DSS-8550: Change Report Form
|
Oct 01, 2023 01:30 PM
|
DSS-8551: Notice of Eligibility, Denial, or Pending Status
|
Sep 01, 2023 11:25 AM
|
DSS-8552: Food and Nutrition Services Makes North Carolina Stronger
|
Oct 01, 2023 02:55 PM
|
DSS-8553: Notice of Adverse Action
|
Sep 01, 2023 11:30 AM
|
DSS-8554: NC DHHS DSS Letter of Overissuance
|
Sep 22, 2016 11:30 AM
|
DSS-8555: Food and Nutrition Services First Month of Overissuance Determination Semi-Annual Reporting Cases
|
Jun 03, 2016 11:35 AM
|
DSS-8556: Advance Notice of Disqualification Hearing
|
Jun 16, 2017 11:35 AM
|
DSS-8557: Notice of State Disqualificaiton Hearing Decision
|
Nov 21, 2019 11:35 AM
|
DSS-8558: Action Taken on Administrative Disqualification Hearing
|
Jun 03, 2016 11:40 AM
|
DSS-8560: Caseworker Desk Reference
|
Dec 01, 2023 07:35 AM
|
DSS-8561: Food and Nutrition Services First Month of Overissuance Determination Simplified Reporting Cases
|
Jun 03, 2016 11:40 AM
|
DSS-8562: Effect of Change
|
Jun 03, 2016 12:05 PM
|
DSS-8566: FNS First Month of Overissuance Determination Standard and Simplified Cases
|
Jun 03, 2016 12:25 PM
|
DSS-8567: Language Notice
|
Oct 01, 2023 12:25 PM
|
DSS-8568: ABAWD Requirements Form
|
Dec 13, 2017 12:25 PM
|
DSS-8569 Consolidated Work Notice
|
Sep 01, 2023 03:10 PM
|
DSS-8584: Letter for Overissuance / Intentional Program Violation
|
Jun 03, 2016 12:25 PM
|
DSS-8586: Notice of Disqualification
|
Jun 03, 2016 12:45 PM
|
DSS-8587: Action Taken on Waiver of Administrative Disqualification Hearing
|
Jun 03, 2016 02:15 PM
|
DSS-8588: Waiver of Disqualification Hearing
|
Jun 16, 2017 02:15 PM
|
DSS-8590: Food and Nutrition Services Client Record
|
Jun 03, 2016 02:15 PM
|
DSS-8593: Food Stamp Benefit Issuance Transactions
|
Jun 03, 2016 02:20 PM
|
DSS-8594: Appointment Notice-Notice of Expiration
|
Jun 03, 2016 02:20 PM
|
DSS-8600: Important Disaster Food and Nutrition Services Program Information
|
Jun 03, 2016 02:25 PM
|
DSS-8601: Food and Nutrition Services Disaster EBT Card Delivery and Receipt
|
Oct 21, 2016 02:25 PM
|
DSS-8602: Food and Nutrition Services Disaster Electronic Benefit Transfer Card Destruction
|
Oct 21, 2016 02:30 PM
|
DSS-8603: Food and Nutrition Services Returned Disaster EBT Card
|
Oct 21, 2016 02:30 PM
|
DSS-8604: Overissuance Repayment Agreement
|
Sep 22, 2016 02:30 PM
|
DSS-8605: Notice of Intent to Submit Debt to U.S. Treasury for Offset Collection
|
Jun 03, 2016 02:35 PM
|
DSS-8606: Notice of Local TOP Review Decision
|
Jun 03, 2016 02:35 PM
|
DSS-8607: Refund Notice
|
Jun 03, 2016 02:35 PM
|
DSS-8608: TOP Reversal
|
Jun 03, 2016 02:40 PM
|
DSS-8609: Balance Due
|
Jun 03, 2016 02:40 PM
|
DSS-8610: Paid in Full Notice
|
Jun 03, 2016 02:40 PM
|
DSS-8616: Food and Nutrition Services Workfare Referral Form
|
Jun 03, 2016 02:40 PM
|
DSS-8625: Food and Nutrition Services Program Facts
|
Jun 03, 2016 02:45 PM
|
DSS-8627: A Serious Crime Public Assistance Fraud
|
Jun 03, 2016 02:45 PM
|
DSS-8628: Food and Nutrition Services Workfare Information Transmittal
|
Jun 03, 2016 02:45 PM
|
DSS-8632: Confirmation of Voluntary Reduction or Termination of Benefits
|
Jun 03, 2016 02:45 PM
|
DSS-8633: Computer Inquiry Checklist
|
Jun 03, 2016 02:50 PM
|
DSS-8636: Notice of Suspension
|
Nov 09, 2010 02:30 PM
|
DSS-8639: Effect of Mass Change on Your Food and Nutrition Services Benefits
|
Jun 03, 2016 02:50 PM
|
DSS-8640: Work Requirement Responsibilities
|
Dec 13, 2017 02:50 PM
|
DSS-8641: Work Readiness Checklist and Referral Form
|
Nov 12, 2020 05:21 PM
|
DSS-8642: Explanation of Disqualification
|
Jun 03, 2016 02:55 PM
|
DSS-8643: Approval or Denial For Stolen Benefits
|
Sep 01, 2023 03:55 PM
|
DSS-8644: Affidavit For Stolen Benefits
|
Sep 01, 2023 09:20 AM
|
DSS-8650: Notice of Information Needed to Complete your Food and Nutrition Services (FNS)
|
Jun 03, 2016 02:55 PM
|
DSS-8650A: Notice of Information Needed English Version
|
Jun 03, 2016 02:55 PM
|
DSS-8653: Notice to Debtor
|
Nov 29, 2017 03:00 PM
|
DSS-8654: Student Income Verification Form
|
Jun 03, 2016 04:00 PM
|
DSS-8655: Report of Medical Examination Requested by County DSS
|
Feb 12, 2018 04:05 PM
|
DSS-8657: Benefit Diversion Agreement
|
Mar 30, 2020 11:50 AM
|
DSS-8658: Post Hearing Repayment Notice
|
Sep 22, 2016 04:05 PM
|
DSS-9000 Policy Questions Form
|
Jun 10, 2022 07:55 AM
|
DSS-9000SA: SA Policy Questions Form
|
Feb 26, 2024 08:27 AM
|
DSS-9001: Food and Nutrition Services (FNS) Qualified Professional in Substance Abuse Request for Good Cause
|
Apr 01, 2023 07:55 AM
|
NCFAST-20009 North Carolina Rights and Responsibilities for Public Assistance
|
Jun 30, 2022 11:10 AM
|