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NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Social Services CHANGE REPORT FORM Name:Date: Address: Case Number: Dear: Changes that you must report: 1. You are only required.

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How to fill out the NC DSS-8550 online

The NC DSS-8550 form is a vital document used to report changes in your Food and Nutrition Services eligibility. This guide provides clear, step-by-step instructions on how to fill out this form online, ensuring you can navigate the process effectively.

Follow the steps to fill out the NC DSS-8550 online.

  1. Click ‘Get Form’ button to obtain the NC DSS-8550 and open it in your preferred editor.
  2. Begin by entering your name and the date at the top of the form. This information is essential for identifying your application.
  3. Provide your current address. Ensure this is accurate, as it is where all correspondence will be sent.
  4. Enter your case number in the specified field. This number is critical for linking your report to your existing Food and Nutrition Services case.
  5. Carefully review the changes that you must report, starting with income changes. If your total monthly income exceeds the set limits for your household size, record the new amount.
  6. If your household has an Able Bodied Adult without Dependents, indicate any change in their work hours, particularly if they fall below 80 hours per month.
  7. Report any lottery or gambling winnings of $3,500 or more as required.
  8. Use the workspace provided on the form to detail all sources of income for the last four months. Fill in the types and amounts accordingly.
  9. Once you have completed all sections, review your answers to ensure accuracy. This is to prevent potential penalties for incorrect information.
  10. After verifying your entries, you can save changes, download, print, or share the completed form according to your needs.

Complete your NC DSS-8550 form online today to ensure your Food and Nutrition Services eligibility is accurately maintained.

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NC DSS-8550
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