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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
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- 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.
- Provide the current address and Social Security Number of the individual in the designated fields.
- In the customer consent section, ensure the individual signs and dates the authorization for access to financial records accurately.
- 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.
- If there are additional accounts or loans, attach a detailed list of these financial assets with type, account number, current balance, and interest earned.
- 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.
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.
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