Get Dss-5320 Adoption Promotion Program Fund Reimbursement Form - Info Dhhs State Nc

Filling out the DSS-5320 Adoption Promotion Program Fund Reimbursement Form is a vital step for individuals seeking reimbursement for adoption-related expenses. This guide will provide a comprehensive overview of each section of the form, ensuring clarity and ease of completion.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to access the form and open it in your browser.
2. Begin by entering the name of the person completing the form in the 'Name' field. This is typically the individual responsible for managing the adoption process.
3. Input the preparer’s telephone number and email address for contact purposes.
4. Provide the SIS identification number, which is critical for tracking your application.
5. Indicate the race and age of the child being adopted. This information may be used for demographic purposes and should be filled out accurately.
6. Fill in the custodial county number, which pertains to the location where the adoption is taking place.
7. Enter the amount of payment requested for reimbursement in the respective field. Be sure this amount corresponds with the documented expenses.
8. If applicable, include any amounts received from other sources in the designated area. This will clarify the total financial request.
9. If services have been shared with another agency, provide the name of that agency in the appropriate field.
10. List any special needs of the child in the designated section. Use bullet points to outline each special need clearly.
11. Once all information has been entered, review the form for accuracy. Ensure all sections are filled out and any necessary documentation is attached.
12. Complete the certification section by having an authorized official sign, print their name, and provide their title and date.
13. After all entries and signatures are completed, save your changes, and download, print, or share the completed form as needed.

Start filling out your DSS-5320 form online today for a smooth reimbursement process.