Get Dss 5159

The DSS 5159 form is essential for foster home change requests in North Carolina. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully fill out your form

1. Press the ‘Get Form’ button to acquire the form and open it for editing.
2. In the first section, enter the facility ID number and the names of all foster parents or adult members. Make sure to fill out each name clearly.
3. Provide your current address in the designated fields. Ensure that it is complete and accurate.
4. For the change request, specify the new capacity that you wish to apply for in the provided field.
5. List the total number of children in your home, categorizing them according to the instructions given in the form.
6. Document the sleeping arrangements by detailing the type of bed and the occupant for each bedroom as indicated.
7. Indicate any changes in the child age range in the respective fields.
8. If there is a change of address, fill in the new address and answer the questions regarding sleeping arrangements and the privacy of children.
9. When adding new household members, include their names, social security numbers, and relationships to the foster parent(s).
10. Complete background checks for new adult household members and provide necessary documentation as listed in the form.
11. If there is a change in foster home license status, indicate the type of change and complete any additional requirements.
12. For removals of foster parents or adult household members, ensure that you document the reason clearly.
13. In the certification section, the foster parent and social worker must sign and date the document as required.
14. Review the completed form for accuracy before proceeding to save changes, download, print, or share the completed document.

Begin filling out your DSS 5159 form online to ensure your request is processed smoothly.