Electing County Work First Plan Score Sheet - ncdhhs 2026

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  1. Click ‘Get Form’ to open the Electing County Work First Plan Score Sheet in the editor.
  2. Begin by entering your county name in the designated field at the top of the form. This identifies your submission.
  3. Proceed to Section 1, where you will coordinate with various agencies. Check 'Yes' or 'No' for each agency listed, ensuring all necessary agreements are on file.
  4. In Section 2, indicate whether you have a budget for MOE funds by selecting 'Yes' or 'No'.
  5. For Section 3, specify the amount of Work First Block Grant funding allocated for Child Welfare services by checking the appropriate box.
  6. Continue to Section 4 and provide local policy details for applicable services. Again, select 'Yes' or 'No' as required.
  7. List any innovative strategies in Section 5 and add any additional comments in Section 7.
  8. Finally, ensure that both the Program Manager and Director sign and date the form before submission.

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