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Get NC DSS-5228 2017-2024

or put the child(ren) at risk of future harm. Identify goals / activities that will be included in the In-Home or Out-of-Home Family Services Agreement. Identify activities that will ensure child(ren) safety until development of the In-Home Family or Out-of-Home Family Services Agreement. SIGNATURES (Received and Reviewed) Child(ren)’s Parent or Legal Guardian: X Other Party: X DSS-5228 (Rev. 01/2017) Child Welfare Services Date Signed: Date Signed: Child(ren)’s Parent or Legal Guardia.

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