DSS-5298 North Carolinas Work First Family Assessment of Strengths and Needs - info dhhs state nc-2026

1. Click 'Get Form' to open it in the editor.
2. Begin by filling in the Casehead/Payee name and date at the top of the form. Indicate whether it is a Child Only Case or a Two Parent Case by checking the appropriate boxes.
3. List the names of children involved and provide your County Name along with the County Case Number.
4. Identify your Case Manager and indicate if this is an Initial Assessment or Reassessment by checking the corresponding box.
5. Proceed to assess each component listed (e.g., Family Relationships, Social Support Systems) using the provided rating scale. Record scores for each household member based on their greatest need.
6. At the end of the assessment, summarize strengths and needs by listing A codes, scores, and titles for both categories.
7. Finally, ensure all signatures are collected before submitting your completed form.

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