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  • Dss-1688 Designation Of Authorized Representative - Info Dhhs State Nc

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North Carolina Department of Health and Human Services Division of Social Services Designation of Authorized Representative A. Applicant Consent: Please complete this section if you are the applicant.

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How to fill out the DSS-1688 Designation Of Authorized Representative - Info Dhhs State Nc online

The DSS-1688 Designation of Authorized Representative form is essential for individuals seeking to authorize someone else to act on their behalf in obtaining food and nutrition services. This guide provides a clear and supportive approach to filling out the form online, ensuring that all required information is accurately submitted.

Follow the steps to complete the form successfully.

  1. Click ‘Get Form’ button to obtain the form and open it in your editor.
  2. Begin by filling out the Applicant Consent section if you are the applicant. Check all applicable boxes and provide your name and signature, along with the date, to indicate your permissions regarding the authorized representative.
  3. Next, move to the Authorized Representative Information and Consent section if you are the authorized representative. Check all applicable boxes that reflect your relationship to the applicant and your responsibilities.
  4. Fill in your full name, date of birth, social security number, race, sex, ethnicity, and address. Ensure that your phone number is accurate so that you can be contacted if needed.
  5. If applicable, provide the name of the Alcohol/Drug Treatment Center. Note that this is not necessary for SNAP applicants.
  6. Sign the form to certify that the information you provided is true and complete. Include the date of your signature.
  7. Review all sections for accuracy before moving forward. You can then save changes, download the filled form, print it out, or share it as necessary.

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Contact Us Email. corpinfo@sosnc.gov. Mailing Address. Post Office Box 29622. Physical Address. 2 South Salisbury Street. Telephone. 919-814-5400.

For all other questions the DHHS Customer Service Center can assist in finding programs and people to help. Call 1-800-662-7030.

You can renew online in some counties, while others require that you fill out a paper form.To find out the easiest way to renew in your county, call your caseworker, local office, or the North Carolina SNAP hotline: 1-800-662-7030.

Using the NCDIT Service Portal to submit a request or report an issue is a convenient way to contact the Service Desk – if the matter isn't urgent. For critical matters or time-sensitive requests, call 919-754-6000 or 800-722-3946. Calls are answered in the order in which they are received.

We're here to help you understand your primary care provider (PCP) and health plan choices. Here are answers to questions you may have. If you have other questions, call us at 1-833-870-5500 (TTY: 711 or RelayNC.com).

Contact. NC EBT Call Center: 1-866-719-0141. Contact the Division of Social Services.

Community Support Team (CST) provides direct support to adults with a Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5) diagnosis of mental illness, substance use, or co- morbid disorder and who have complex and extensive treatment needs.

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Fill DSS-1688 Designation Of Authorized Representative - Info Dhhs State Nc

Contact Information. NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000. B. Authorized Representative Information and Consent: Please complete this section if you are the Authorized Representative. Check all boxes that apply. Designation of Authorized Representative. The purpose of Form DSS-1688 is to designate someone to act as an authorized representative on behalf of an individual or household. This Consolidated Agreement is made between the North Carolina Department of Health and Human.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232