Get Nc Dhhs Dss-5096a 2018-2025

The NC DHHS DSS-5096a form is essential for creating a transitional living plan for youth and young adults in foster care. This guide provides clear, step-by-step instructions to assist you in completing this form online effectively.

Follow the steps to complete the NC DHHS DSS-5096a form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the youth or young adult's full name and date of birth in the designated fields at the top of the form.
3. Fill out Part A, which includes the transitional living plan for youth or young adults in foster care. Enter the case worker's name and phone number.
4. List all parties involved in the case plan, providing their names, addresses, phone numbers, and email addresses as required.
5. Complete Section I by providing detailed information about the youth or young adult, including their date of first admission to out-of-home care and current placement type.
6. In Section B, outline the goals and activities, listing strengths and assessing life skills. Make sure to document responsible parties and projected completion dates.
7. For Section C on supportive relationships, document the names, relationships, and contact information of individuals supporting the youth or young adult.
8. In Section D, provide the current living situation and backup housing plan upon exiting foster care.
9. Fill out Section E for any additional services needed to aid the youth or young adult in achieving independence.
10. Develop and document an alternate plan addressing unexpected exits or details related to education and employment in the designated section.
11. Complete Section III, detailing eligibility and skill development services, including any educational programs or employment information.
12. Finally, obtain signatures from all relevant parties at the end of the form, confirming receipt of the plan.
13. Review all fields for accuracy, save the document, and choose to download, print, or share the completed form as necessary.

Complete the NC DHHS DSS-5096a form online today for efficient and effective documentation.