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Dear Prospective Resource Family, OUR PARTNERS and AFFILIATES Childrens Square U.S.A Family Resources You informed Iowa KidsNet that you and/or members of your family resided in a state other than.

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How to fill out the DSS-5268 Responsible Individuals List RIL Information Request online

Filling out the DSS-5268 Responsible Individuals List (RIL) Information Request is an essential step for individuals seeking to become foster or adoptive parents. This guide provides clear, step-by-step instructions on completing the form online, ensuring that you submit all required information accurately.

Follow the steps to complete your RIL Information Request.

  1. Press the ‘Get Form’ button to access the DSS-5268 form and open it in your preferred editor.
  2. Enter the full name of the employee, applicant, or volunteer, including middle initial, in the designated field.
  3. Provide the date of birth in the format MM/DD/YYYY.
  4. Fill in the last four digits of the social security number in the specified section.
  5. Indicate the gender by selecting either Male or Female.
  6. List any other names used, such as maiden names or nicknames, in the provided space.
  7. Enter the agency's name that is requesting the information in the appropriate section.
  8. Complete the agency's mailing address, including city, state, and zip code.
  9. Provide the agency's contact phone number and fax number.
  10. Select the type of agency from the available options and check the corresponding box.
  11. Acknowledge the request for information regarding your responsible individuals status by signing in the designated area.
  12. Complete the date field for when the request is being submitted.
  13. Provide your name and title at the bottom of the form and sign it to certify your request.
  14. Save any changes made to the form, then download, print, or share the completed document as needed.

Get started with your DSS-5268 Responsible Individuals List Information Request online today!

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Related content

DSS-5268: Responsible Individuals List (RIL)...
Aug 18, 2020 — DSS-5268: Responsible Individuals List (RIL) Information Request ... Form...
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RIL - NC.gov
DSS-5268 (Rev. 12/2013). Child Welfare Services. North Carolina Division of Social...
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If you are requesting information as part of an open case involving CPS, please submit the DSS-5277-ia. Requests must be submitted on your agency letterhead. A fax cover page on letterhead is acceptable. North Carolina has a state-supervised, county-administered social services system.

“A parent or caregiver of a child less than 16 years of age whose willful act or grossly negligent omission in the care of a child shows a reckless disregard for human life” may be charged with a Class G felony if the child sustains serious physical injury. A Class G felony is punishable with 8 to 47 months in prison.

North Carolina General Statute 7B-101 defines: • Physical Abuse; • Sexual Abuse; • Emotional Abuse; • Neglect; and • Dependency. The law applies to any juvenile under 18 years of age.

Use of the Responsible Individuals List (RIL) is required by North Carolina statute. Agencies must follow law, rule, and policy when using the RIL. The RIL is in place to ensure anyone who has caused harm or maltreatment to a child is not placed in a position giving them access to children.

Operators can conduct a check of new or existing employees using the Responsible Individuals List of abuse and serious neglect cases. The RIL is used to identify parents, guardians, caretakers, or custodians that have been identified as responsible individuals in substantiated cases of abuse or serious neglect.

If the child is placed in the custody of DSS then the child will be placed in a licensed foster care home. If DSS substantiates neglect against you they will request that your name be placed on a Responsible Individuals List (RIL), which is state registry of people who DSS believes neglected or abused children.

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