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  • Dss 3431

Get Dss 3431

NORTH CAROLINA COUNTY DEPARTMENT OF SOCIAL SERVICES REQUEST FOR FINANCIAL INFORMATION DATE TO: NAME: District # County Case # Program(s): (Last, First Middle) Address: SSN: SSN: SSN: We are in the.

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How to fill out the DSS 3431 online

The DSS 3431 form is an essential document used by the North Carolina County Department of Social Services to assess eligibility for public assistance. This guide provides clear, step-by-step instructions for completing this form online, ensuring a smooth process for all users.

Follow the steps to complete the DSS 3431 form online

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by filling out the personal information section. Enter the full name of the individual requesting assistance, along with the date, district number, county case number, and the relevant programs.
  3. Provide the current address and Social Security Number of the individual in the designated fields.
  4. In the customer consent section, ensure the individual signs and dates the authorization for access to financial records accurately.
  5. Complete the financial information section by indicating the status of various accounts such as checking, savings, and any other financial assets. Include current balances and whether accounts are jointly owned.
  6. If there are additional accounts or loans, attach a detailed list of these financial assets with type, account number, current balance, and interest earned.
  7. After all sections are completed, review the form for accuracy. Once satisfied, options will be available to save changes, download, print, or share the form.

Complete your DSS 3431 form online today to ensure your eligibility assessment progresses smoothly.

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Contact NC Medicaid Contact Center. Phone: 888-245-0179. Provider Ombudsman. For provider inquiries, concerns, complaints regarding health plans. Medicaid.ProviderOmbudsman@dhhs.nc.gov. Phone: 866-304-7062. NCTracks Call Center. Phone: 800-688-6696.

The Medically Needy Income Limit (MNIL) has remained the same for many years, and in 2023, continues to be $242 / month for a single individual and $317 / month for a married couple.

If you have questions about this change, call the ACCU-CHEK Customer Care at 1-877-906-8969. You may also go to the ACCU- CHEK web site at .accu-chek.com. When changes occur, you must report them to your county case worker. You can report changes in person, by phone, or by mail to your case worker.

You can renew your NC Medicaid eligibility in three ways: Fill out the paperwork you received in the mail. Go online. In person at your county Department of Social Services (DSS) office.

Customer Service Agents are available to answer questions at this toll-free number: Phone: 800-688-6696. Calls are recorded to improve customer satisfaction. The Automated Voice Response System is encouraged to obtain claims status using a touch-tone phone.

Verify eligibility, health plan and primary care provider enrollment using the NCTracks Recipient Eligibility Verification/Response or calling the NCTracks Call Center for more information: 800-688-6696.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232