Dss 5272-2025

Show details

4 out of 5

34 votes

The document is an application form from the North Carolina Department of Health and Human Services for obtaining or renewing a Facility ID Number for mental health residential treatment facilities for children and adolescents. It outlines the necessary information required from the facility, including contact details, licensing compliance, and Title IV-E reimbursement requirements. The form must be submitted to the Division of Social Services along with a current DHSR license, and it emphasizes the importance of compliance with personnel requirements and criminal history checks.

Here's how it works

01. Edit your dss 8110 online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send dhb 8110 via email, link, or fax. You can also download it, export it or print it out.

How to quickly redact Dss 5272 online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is the best editor for changing your paperwork online. Adhere to this straightforward guideline redact Dss 5272 in PDF format online free of charge:

Sign up and sign in. Create a free account, set a secure password, and proceed with email verification to start managing your forms.
Upload a document. Click on New Document and select the file importing option: add Dss 5272 from your device, the cloud, or a secure URL.
Make changes to the template. Take advantage of the top and left-side panel tools to edit Dss 5272. Insert and customize text, pictures, and fillable areas, whiteout unnecessary details, highlight the significant ones, and provide comments on your updates.
Get your paperwork accomplished. Send the sample to other parties via email, generate a link for quicker file sharing, export the template to the cloud, or save it on your device in the current version or with Audit Trail added.

Try all the benefits of our editor today!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What does DSS case mean?

The Department of Social Services (DSS) is required to investigate if they receive a report that a child has been mistreated. More particularly, DSS is looking for evidence of abuse, neglect, or dependency.

What not to say in child custody court?

Disrespectful Language : Avoid using any form of disrespect, such as insults, sarcasm, or derogatory remarks about the judge, the opposing party, or even the legal system. Negative Comments About the Other Parent : Speaking poorly about the other parent can reflect badly on you. Emotional Outbursts

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.

What is DSS custody?

When the Department of Social Services (DSS) receives a report of suspected neglect or abuse, they are required to investigate. If they determine that the child is not safe in the home, they can either take custody of the child at that time or they can create a Temporary Parental Safety Agreement with the parents.

What does DSS stand for in North Carolina?

The Department of Social Services, or DSS, is an agency in each North Carolina county that provides programs and social services including Medicaid, food and housing assistance, child care subsidies, services for seniors and disabled adults, and job search assistance.

Try more PDF tools