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(1) AGENCY CASE NO. NORTH CAROLINA DIVISION OF SOCIAL SERVICES FOSTER CARE FACILITY LICENSE ACTION REQUEST (4) NAME OF SUPERVISING AGENCY (2) CO. NO. NEW LICENSE CHANGE RELICENSE TERMINATE /REVOKE.

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How to fill out the Dss 5015 online

The Dss 5015 form is essential for initiating and managing licensing actions for foster care facilities in North Carolina. This guide will provide you with a clear, step-by-step approach to filling out the form online, ensuring that you can complete it accurately and efficiently.

Follow the steps to correctly complete the Dss 5015 online.

  1. Begin by clicking the ‘Get Form’ button to access the Dss 5015 form online.
  2. In the first section, provide the agency case number as indicated. This is crucial for tracking your application.
  3. Select the type of license action by indicating whether you are requesting a new license, change, relicense, terminate/revoke, or waiver. Choose the appropriate option that applies to your situation.
  4. Fill in the county number and name of the supervising agency, specifying whether it is a public or private agency.
  5. For the facility address, enter the complete address, including the city, state, and zip code, ensuring all details are accurate to avoid delays.
  6. Enter the social security number only if required, along with the racial and sexual demographics of the individuals associated with the facility or foster care.
  7. Indicate the training type and hours completed, specifying orientation, skills development, or specific child training as applicable.
  8. Under capacity, fill out the number of individuals you intend to care for, specifying the type of care you will provide: family foster home, group home, institution, etc.
  9. Complete sections regarding other household members over 18 and their relevant information, including their education and social security numbers, if necessary.
  10. Review the entire form for completeness and accuracy. Ensure that all fields are filled out as required for submission.
  11. Finally, save your changes, and you have the option to download, print, or share the completed Dss 5015 form.

Begin filling out the Dss 5015 online today to efficiently manage your foster care facility licensing action.

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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
Help Portal
Legal Resources
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
altaFlow
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