Get Dss-5199 Foster Home Request For Waiver - Info Dhhs State Nc

The DSS-5199 Foster Home Request For Waiver is an essential document for foster parents seeking permission to waive specific regulations. This guide provides clear and detailed instructions on how to complete this form online effectively.

Follow the steps to complete your waiver request successfully.

1. Press the 'Get Form' button to access the DSS-5199 form and open it for editing.
2. Fill in the agency name at the top of the form, ensuring it accurately reflects your foster home agency.
3. Provide the names of all foster parents involved in the request. Ensure clarity by entering one name per line in the designated fields.
4. Enter the Facility ID number associated with your foster home in the specified field.
5. Clearly specify the rule you are requesting to be waived. Be as detailed as possible to support your request.
6. In the section for rationale, include sufficient information that justifies the need for the waiver. Provide relevant details and context.
7. Type the name of the individual requesting the waiver in the designated field, ensuring it matches your official documents.
8. Sign the form in the appropriate space to confirm your request. This signature serves as a formal acknowledgment of your waiver request.
9. Indicate the title of the individual requesting the waiver, ensuring clarity in roles.
10. Lastly, fill in the date on which you are submitting the waiver request.
11. Once all fields are completed, save your changes. Then, you may download, print, or share the form as necessary for further processing.

Begin filling out your DSS-5199 Foster Home Request For Waiver online today to ensure your request is processed promptly.