Get Dss Form 3004 - South Carolina Department Of Social Services - Dss Sc

Completing the DSS Form 3004 is a crucial step in accessing child care services through the South Carolina Department of Social Services. This guide provides clear and supportive instructions on how to accurately fill out the form online, ensuring users can navigate the process with confidence.

Follow the steps to successfully complete the DSS Form 3004 online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Section A, select one of the options to indicate the type of application you are submitting, such as 'Child Protective Services' or 'Foster Care'. Check the appropriate box for 'New Application' or any other relevant option as required.
3. Proceed to Section B and input the details of the parent, guardian, caretaker, or foster parent. Fill in their name, social security number, and relationship to the child.
4. In Section C, list the child care provider's name, their social security number or federal employer identification number, and their address.
5. Navigate to Section D to specify the children in need of child care services. Include each child's name, date of birth, social security number, and the beginning and ending dates for the requested child care services.
6. If applicable, use Section E to provide notification of termination of child care services. State the date on which services will end and include the name and address of the child care provider.
7. In Sections F and G, complete the necessary questions regarding whether there is an open child protective services or foster care case. Provide explanations based on the specific circumstances for child care needs.
8. Section H requires the county director’s approval if extending child protective services child care for additional weeks. The county director must sign and date here.
9. Finally, in Section I, obtain the necessary signatures from the case manager and supervisor, ensuring both print their names and sign the document.
10. Once all sections are completed, save changes, download the completed form for your records, print a copy if needed, or share it as required.

Get started on your DSS Form 3004 online to ensure you access essential child care services.