DSS Form 5268 - A Childs Hope-2025

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The document outlines the process for requesting information from the North Carolina Division of Social Services regarding individuals on the Responsible Individuals List (RIL). It details the necessary steps and information required to complete form DSS-5268, which is used to assess the suitability of employees, applicants, or volunteers in child care and adoption services. The form must be filled out completely and legibly, and it includes sections for personal identification, agency information, and an acknowledgment of potential findings related to abuse or neglect.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the full name of the Employee (E), Applicant (A), or Volunteer (V) in the designated field, ensuring to include the middle initial.
Input the date of birth in the format MM/DD/YYYY. This is crucial for identification purposes.
Provide the last four digits of the Social Security Number for verification.
Select the gender by checking either Male or Female, and list any other names used, such as maiden names or nicknames.
Fill in the agency requesting information, including its name and mailing address. Ensure all details are accurate to avoid delays.
Check the appropriate type of agency from the provided options that best describes your organization.
Sign and date the acknowledgment section to confirm understanding of information disclosure regarding RIL status.

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Versions	Form popularity	Fillable & printable
2020	4.5 Satisfied (55 Votes)
2011	4 Satisfied (35 Votes)

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What happens when DSS is called in SC?

Child Protective Services (CPS), also known as the Department of Social Services (DSS) in some states, is a government agency responsible for investigating reports of child abuse and neglect. The agency aims to ensure the safety and well-being of children by providing necessary family services to parents or guardians.

What is DSS custody?

If DSS finds that a child cannot be cared for safely by their parents, they file a dependency action in Juvenile Court to take legal custody of the child. This is also referred to as taking the child into foster care. When DSS is awarded custody, they try to find a relative to care for the child.

What does DSS mean in court?

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.