Get Nc Dhhs Dss-1402 2019-2025

The NC DHHS DSS-1402 form is essential for reporting child protective services cases in North Carolina. This guide provides step-by-step instructions on how to complete the form online, ensuring that all necessary information is accurately submitted.

Follow the steps to fill out the NC DHHS DSS-1402 form online.

1. Click the ‘Get Form’ button to access the NC DHHS DSS-1402 form online.
2. Begin by filling out Section I, Demographics. Enter the date and time of the report, the name of the person who received it, the county, and other pertinent information regarding the screening decision.
3. In Section II, Reporter Information, provide your full name, relationship to the child, address, and phone number. Indicate whether you waive the right to notification and whether you are available for further information.
4. Proceed to Section III, Maltreatment Information. Fill in details about the children involved, including their names, ages, and relationship to any alleged perpetrators.
5. Continue to provide information on the alleged perpetrator and other household members in the designated fields.
6. In Section IV, Family Strengths, describe the strengths of the family and how they typically resolve issues.
7. Section V covers Safety Factors. Note any safety concerns regarding a social worker visiting the home and any potential risks to the children.
8. Fill out Section VI, Health Insurance Information, to provide details about the children's health coverage and where they receive care.
9. Complete Section VII through Section X, detailing any allegations of abuse or neglect, mandated reports, and providing necessary signatures.
10. Once all sections are completed, save any changes made to the form. You can then download, print, or share the form as required.

Complete your documents online to ensure accurate and timely filing.