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Get Dss-5203 2017-2025
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How to fill out the DSS-5203 online
The DSS-5203 form is essential for assessing the suitability of a temporary safety care provider for children placed outside of their home. This guide will walk you through the process of completing this form online, ensuring accuracy and compliance.
Follow the steps to complete the DSS-5203 online.
- Click ‘Get Form’ button to obtain the DSS-5203 form and have it open in your editing tool.
- Begin by filling in the basic information regarding the case, including the case name, county case number, and the children's details such as name, date of birth, gender, and race/ethnicity.
- Provide safety or kinship provider (caretaker) information. Include the provider's name, social security number, date of birth, gender, race/ethnicity, and their relationship to the children.
- Document the provider’s place of employment and source of income. Also, furnish the provider's address and contact information.
- List other members of the provider's household, ensuring to include their names, social security numbers, dates of birth, gender, race/ethnicity, and their relationship to the provider. Indicate whether they participate in the care of the children.
- Complete the background check section for all household members over the age of 16. Document any criminal history found and child protective services (CPS) history.
- Discuss and record the caregiver's understanding of the children’s needs and behaviors, including any documentation of discussions held with the provider regarding supervision and discipline.
- Document the safety assessment of the provider's home, indicating adequacy of sleeping space, privacy, safety hazards, and compliance with sanitary utilities.
- Complete the requirements for the provider’s background, mental and physical capability, and readiness to care for the children.
- Conclude by ensuring that you and the necessary parties sign off on the assessment, providing a recommendation for approval or disapproval if applicable.
- Once completed, you can save your changes and download, print, or share the completed DSS-5203 form as needed.
Complete your DSS-5203 form online today to ensure timely processing and assessment for child safety.
The director of DSS in North Carolina is appointed by the Secretary of the Department of Health and Human Services. This individual oversees the operations and effectiveness of all county offices. For current information about the director and their policies related to DSS-5203, you can visit US Legal Forms, which provides updates on leadership and organizational changes.
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