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  • Dss-5203 2017

Get Dss-5203 2017-2025

Needs/Behavioral Considerations 1 2 3 4 Safety or Kinship Provider (Caretaker) Information Provider(s) Name SS# DOB Gender Race/Ethnicity Relationship to Children Place of Employment/Source of Income 1 2 3 *Provider Address: __________________________________ __________________________________ Other Members of the Household Name SS# Provider Phone(s): DOB Gender Race/Ethnicity ____________________ ____________________ Relationship to Provider To participate in care of children?.

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Kinship care means that children whose parents are unable to look after them on a short or long term basis are cared for by other relatives, like grandparents, uncles or siblings,or by other adults who have a connection to the child, such as neighbours or a close friend of the family.

The Kinship Foster Care and Guardianship Assistance Program (KinGAP) offers financial assistance and Medicaid for youth who are determined to be in a permanent family setting and unlikely to obtain permanency through reunification or adoption.

In North Carolina, kin can be related to the child/youth by birth or can have demonstrated a “family-like” relationship with the child/youth, such as a close friend of the family or the child/youth's foster parent.

Relatives may be able to apply online at Benefitscal.org or contact the social services agency within their county. To obtain in person or online assistance for Kinship Caregivers or Previous and Current Foster Youth, please visit: California Kinship Navigator.

To support guardianship, North Carolina offers the Kinship Guardianship Assistance Program (KinGAP). This program offers financial assistance and Medicaid for youth who are placed with licensed kin or foster parents who are committed to being a permanent home for the youth.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232