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How to fill out the Dss 5120 online
This guide provides a clear and supportive walkthrough for users seeking to fill out the Dss 5120 form online. By following these steps, you will be able to complete the form accurately and efficiently.
Follow the steps to complete the Dss 5120 form successfully.
- Click the ‘Get Form’ button to obtain the form and open it in your preferred editor.
- Begin with Part I: Child Information. Fill out the child's name, date of placement, and birth details accurately. Include the method of verification, remembering that a copy of the birth certificate is required.
- Proceed to Part II: Legal Responsibility for Removal. Indicate the removal method (VPA, Relinquishment, or Court Order) and complete the relevant section by providing dates and necessary documentation.
- In Part III, determine the removal home. Identify whether it's a parent or guardian and provide details such as the names and relationships. Ensure to record if the child resided there in the last six months.
- Move to Part IV: AFDC Connectedness. Classify the deprivation reasons and how they were verified. It's essential to mark all applicable responses to ensure proper eligibility determination.
- Complete Part V: AFDC Need Determination. The Income Maintenance Case Worker will fill out this section based on provided budgetary information, determining the income eligibility for the child.
- In Part VI: Decision, verify citizenship status and summarize all initial IV-E eligibility requirements. Mark the appropriate funding source.
- Fill out Part VII and Part VIII regarding additional information and TEA eligibility determination. Ensure all essential details are provided for effective processing.
- Finally, review all sections for accuracy. Save changes, download a copy for your records, print it if necessary, or share it with relevant parties.
Complete your Dss 5120 form online today for a smoother application process.
North Carolina has a federally mandated, state supervised, county administered social services system. This means the federal government authorizes national programs and a majority of the funding, and the state provides oversight and support.
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