(County) (Type of Facility) STATEMENT OF ASSURANCE OF COMPLIANCE WITH TITLE VI OF THE CIVIL RIGHTS ACT OF 1964 FOR OTHER AGENCIES, INSTITUTIONS, ORGANIZATIONS OR FACILITIES The hereby agrees (Name of institution, organization or facility) That it will comply with the provisions of the Title VI Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, Title IX of t.
Open form follow the instructions
Easily sign the form with your finger
Send filled & signed form or save
How to fill out the NC DSS-1464A online
Filling out the NC DSS-1464A is an essential step for agencies, institutions, or organizations to confirm their commitment to compliance with civil rights laws. This guide will provide you with clear, step-by-step instructions to complete the form online effectively.
Follow the steps to complete the NC DSS-1464A online
- Press the ‘Get Form’ button to download the NC DSS-1464A form and open it for editing.
- Begin by filling in the name of your institution, organization, or facility at the designated section of the form.
- Provide the type of facility in the specified field. Ensure accuracy to reflect the nature of your organization.
- Fill out the address of your institution, organization, or facility. This includes the street address, city, state, and zip code.
- Complete the mailing address, if it differs from the physical address, including the same details: city, state, and zip code.
- Enter the telephone number and facility license number in their respective fields.
- Ensure that an authorized official signs the form. This individual’s printed name and title must also be included.
- Review the entire form for completeness and accuracy before submission.
- You may choose to save changes, download a copy, print the form for submission, or share it as required.
Complete your NC DSS-1464A form online today for seamless processing and compliance.
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Related content
DSS-1464a: Statement of Assurance of Compliance with Title VI of the Civil Rights Act of...
Dec 16, 2016 — • DSS-1464a, Statement of Assurance of Compliance with Title VI of the...
User Guide to the 2014 Natality Public Use File. Introduction. United States birth data...
Get answers to your most pressing questions about US Legal Forms API.
How long does DSS take to investigate NC?
Potential Outcomes of DSS Investigations Once a social worker has completed the investigative assessment, they will determine whether the allegations of abuse or neglect are substantiated or not. This can take weeks or months but usually last about 45 days.
What does the NC Department of Health and Human Services do?
The Department of Health and Human Services manages the delivery of health- and human-related services for all North Carolinians, especially our most vulnerable citizens – children, elderly, disabled and low-income families.
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 long does DSS have to investigate in NC?
CPS must begin its investigation within 24 hours of a report of abuse, or 72 hours of a report of neglect or dependency. CPS must complete an assessment within 45 days of receiving the report.
What are the responsibilities of the NC Division of social services?
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 report a DSS worker in NC?
Customers or clients may file a complaint using the NC DSS Civil Rights Complaint Form. Please fill out the form and provide a copy to the local county DSS Title VI Compliance Officer. To protect your rights you must file a complaint within 180 days of the date you believe you or someone else was treated unfairly.
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 does DSS look for at home visits in NC?
The Home's Cleanliness – A clean, safe environment is essential for a child's health and development. CPS workers will check for clutter, dirt, mold, and other sanitary issues that might pose health risks. While every home has its messy moments, persistent neglect could be a sign of a problem.
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down process here.