Get Certification - Nc Department Of Health And Human Services - Ncdhhs

Filling out the Certification form from the North Carolina Department of Health and Human Services is essential for compliance with monitoring requirements. This guide provides simple and clear steps to assist users in completing the form accurately.

Follow the steps to complete the Certification form online.

1. Press the ‘Get Form’ button to acquire the necessary Certification form and open it in your preferred online editor.
2. Begin filling out the Agency Name field by entering the full legal name of your agency as it appears in official documents.
3. Indicate whether your agency undergoes a yearly single audit by selecting 'Yes', 'No', or 'N/A' for the audit question.
4. Answer the next question regarding the review of prior audit findings by selecting the appropriate option: ‘Yes’, ‘No’, or ‘N/A’.
5. In the section for Additional Information/Examinations of Agency, indicate if there has been any other examination, monitoring, or investigation by selecting 'Yes', 'No', or 'N/A'. If 'Yes', provide the name of the review in the designated space.
6. Answer the question about reviews by the Division of Social Services, using the same format as in the previous step.
7. In the Certification section, confirm that your agency has the completed 'Subrecipient Self-Assessment of Internal Controls and Risks' on file, and provide the date of that document.
8. Sign the form in the designated space by the agency director, ensuring that the name is printed clearly below the signature.
9. Finally, save your changes, and ensure to download and keep a copy of the completed form for your records. You may then share it via email or fax to your local DSS contact.

Complete your Certification form online to ensure compliance with monitoring requirements.