Er (V). G.S. 7B-311 authorizes the release of information regarding substantiated cases of abuse and serious neglect from the Responsible Individuals List (RIL), for the sole purpose of determining current or prospective employment in certain situations, or fitness to provide case for children. This includes applications to foster or adopt a child. All sections of the DSS-5128 must be completed and signed by the agency and the prospective employee/applicant/volunteer. Please print legibly or.
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How to fill out the NC DSS-5268 online
The NC DSS-5268 form is essential for requesting information from the Responsible Individuals List, which is necessary for ensuring the safety of children in care. This guide will provide you with clear, step-by-step instructions to assist you in completing this form online.
Follow the steps to successfully complete the form online.
- Locate and click the ‘Get Form’ button to access the NC DSS-5268 and open it in your chosen form editor.
- Begin by entering the full name of the Employee (E), Applicant (A), or Volunteer (V), including their middle initial.
- Input the date of birth of the individual in the format MM/DD/YYYY.
- Provide the last four digits of the individual’s Social Security Number.
- Select the appropriate gender option for the individual by marking 'Male', 'Female', or specifying another option.
- List any other names the individual has used, such as a maiden name or nickname.
- Fill in the name of the agency requesting the information.
- Provide the complete mailing address of the agency, including the city, state, and zip code.
- Enter the phone number and fax number of the agency where the request will be sent.
- Check the box next to the type of agency that corresponds to the request.
- Sign and date the form to acknowledge the understanding of the disclosure of the Responsible Individuals List.
- Once all fields are completed accurately, save the changes, and proceed to download, print, or share the form as needed.
Complete your NC DSS-5268 form online to ensure a smooth submission process.
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Get answers to your most pressing questions about US Legal Forms API.
What is CPS called in North Carolina?
Each DSS agency also provides child welfare services through Child Protective Services, or CPS. Each county's CPS receives and screens reports of suspected child abuse and neglect and seeks court action to protect children when necessary.
How do I request my CPS records in NC?
Child Protective Services Requests If you are requesting information as part of an open case involving CPS, please submit the DSS-5277-ia. Requests must be submitted on your agency letterhead. A fax cover page on letterhead is acceptable.
Are CPS reports confidential in NC?
Moreover, the law requires that all information and records shared must be withheld from public inspection and maintained in a confidential manner. Any violation of these confidentiality requirements will be punishable as a Class 1 misdemeanor.
How do I contact DSS in NC?
DSS Customer Connection Child Protective Services 980-31-HELPS (43577) Adult Protective Services 704-336-CARE (2273)
What is the RIL list in NC?
Use of the Responsible Individuals List (RIL) is required by North Carolina statute. Agencies must follow law, rule, and policy when using the RIL. The RIL is in place to ensure anyone who has caused harm or maltreatment to a child is not placed in a position giving them access to children.
How do I get CPS records in North Carolina?
Child Protective Services Requests If you are requesting information as part of an open case involving CPS, please submit the DSS-5277-ia. Requests must be submitted on your agency letterhead. A fax cover page on letterhead is acceptable.
What does NC DSS do?
The Division of Social Services (DSS) provides guidance and technical assistance to agencies that provide direct services that address issues of poverty, family violence and exploitation.
How do I contact CPS NC?
North Carolina General Statue § 7B-300 requires that "The director of the department of social services in each county of the State shall establish protective services for juveniles alleged to be abused, neglected, or dependent.
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