Get Dss-6247 Notification Of Refugee Arrival And Intent To Apply For Benefits - Info Dhhs State Nc

The DSS-6247 form is essential for notifying the local department of social services about a refugee's arrival and their intent to apply for public benefits. This guide will provide you with clear, step-by-step instructions on how to complete the form accurately online.

Follow the steps to complete the form online effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the date in the designated field to indicate when the form has been completed.
3. In the 'To' section, input the name of the DSS contact person (if known) and the local department of social services, along with their address and telephone number in the provided lines.
4. In the 'From' section, fill in the name of the Case Manager and the local affiliate organization (such as Catholic Social Services), followed by the agency's address and telephone number.
5. Provide details for the refugee, including their name, alien number, date of birth, date of arrival, nationality/ethnicity, and immigration status in the respective fields.
6. Type the name and contact information of the local community contact person, specifying their relationship to the refugee if applicable, and include the necessary telephone numbers.
7. Indicate the public benefit programs for which the refugee will likely apply by checking the appropriate boxes, and write any programs not listed beside the word 'other.'
8. If the case is currently enrolled in the Match Grant program, mark the 'Yes' block, and include the applicable dates and amount if known. If not enrolled, select 'No'.
9. Review all entered information for accuracy, and ensure all necessary sections have been completed.
10. Once satisfied with the entries, save changes, download, print, or share the form as needed.

Complete your DSS-6247 form online today to ensure efficient processing of your application.