DSS-6247 Notification of Refugee Arrival and Intent to Apply for Benefits - info dhhs state nc-2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Fill in the 'Date' field with the date you are completing the form.
  3. In the 'To' section, enter the name of the DSS contact person and local department, followed by their address and phone number.
  4. In the 'From' section, provide your name as Case Manager along with your agency's details including address and phone number.
  5. Complete the refugee information fields: Name, Alien Number, Date of Birth, Date of Arrival, Nationality/Ethnicity, and Immigration Status.
  6. Enter the local community contact person's details. If applicable, include their relationship to the refugee.
  7. Mark an 'x' next to any public benefit programs that the refugee will likely apply for. Specify any other programs if necessary.
  8. Indicate if they are a Matching Grant participant by checking 'Yes' or 'No', and provide dates and amounts if known.

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USCRI advocates for the rights of refugees and immigrants both nationally and globally, helping to drive policies, practices and law.
Our dedicated team of staff, volunteers, and community partners supports these refugees and immigrants with access to affordable housing, medical and mental health support, education, employment, community connections, and more.
Low-Income Services Emergency Assistance. Short term financial assistance for families in crisis. Food and Nutrition Services (Food Stamps) Low Income Energy Assistance. Crisis Intervention Program.
Coming to the United States If you are approved as a refugee, you will receive a medical exam, a cultural orientation, help with your travel plans, and a loan for your travel to the United States. After you arrive, you will be eligible for medical and cash assistance.