Get Dss2216

The Dss2216 form is crucial for requesting and transmitting records in the context of Economic Independence and Family Services within North Carolina. This guide will walk you through each section of the form to ensure that your submission is complete and accurate.

Follow the steps to successfully complete the Dss2216 form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin filling out the top half of the form by entering the county requesting the records, as well as the name of the caseworker.
3. Provide the name and address of the office where the records are located, ensuring all fields are filled out accurately.
4. In the section for the person's name, enter the first name, middle initial, and last name of the individual whose records are being requested.
5. Indicate the specific aid program or category relevant to the request.
6. Fill in the county case number and the case ID number associated with the request.
7. Check all applicable items for forwarding: pending application, active case, inactive case, complete eligibility record, or family services record or summary.
8. Specify the recipient's eligibility in the county where the request is being made.
9. Enter the date when your responsibility for the client's assistance ends.
10. Document the date of the request for the record.
11. The County Director should sign the form, ensuring all required fields are completed.
12. After making sure all information is accurate, save your changes, then download, print, or share the form as necessary.

Complete your documents online for a seamless experience.