Get Dss-1840 - Info Dhhs State Nc

Filling out the DSS-1840 form, also known as the Case Manager Statement of Interest, is an essential step in the placement process under the North Carolina Interstate Compact. This guide provides clear instructions to help users navigate the form effectively and submit it online.

Follow the steps to accurately complete the DSS-1840 form.

1. Click ‘Get Form’ button to access the DSS-1840 form and open it in the editing area.
2. Begin by filling out the identifying information of the placement resource. Enter the full name, including last name, first name, and middle initial, in the designated fields. Include the complete address, city, and ZIP code.
3. Provide contact information, including home and alternate phone numbers, and an email address. These are vital for communication throughout the process.
4. Enter the Social Security Number or Government ID, the name and phone number of the employer, and the relationship to the child being discussed.
5. If applicable, fill out the spouse’s details, including their name and employer information. Ensure to include an alternate phone number for the spouse.
6. Detail the home’s capacity by specifying the number of bedrooms, adults, other rooms, and children currently residing in the home. Additionally, provide the square footage of the home.
7. List other adults living in the home along with their names, dates of birth, Social Security Numbers, and contact information if it differs from what has been provided above.
8. Review the signed statement section. Check the appropriate boxes to confirm agreement to participate in the ICPC process, discuss criminal records and child abuse history, and acknowledge financial responsibility for the child.
9. Complete the required dates and names in the case manager section. Ensure to include the first and last name of the worker, along with the county and date information.
10. Fill in the supervisor's name and ensure all details are accurate. Once completed, save the form, download a copy, print it, or share it as necessary.

Start filling out the DSS-1840 form online to ensure you complete the necessary steps for child placement effectively.