Dss 2435-2026

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The document is a Food and Nutrition Services (FNS) Notice of Expiration and Recertification Form from the North Carolina Department of Health and Human Services. It outlines the process for clients to recertify their FNS benefits, including necessary information, verification requirements, and deadlines. The form requires personal details, household information, financial data, and expenses to determine eligibility for continued benefits. It also includes instructions for assistance, legal rights regarding hearings, and consequences for providing false information.

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Click ‘Get Form’ to open the dss 2435 in the editor.
Begin by filling out your contact information in Section A. Include your first name, middle initial, last name, and both mailing and residence addresses if they differ.
In Section B, list everyone living with you. Provide their names, relationships to you, dates of birth, and indicate if they are applying for benefits.
Proceed to Section C to detail your household finances. Answer questions about employment status and provide income verification as required.
In Section D, outline your monthly expenses including rent or mortgage payments and any utility bills. Be sure to check all applicable boxes.
Complete Section E by answering questions regarding the individuals in your home, including educational status and any legal issues.
Finally, review all sections for accuracy before signing at the end of the form. Ensure that all required verifications are attached.

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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (40 Votes)
2021	4.9 Satisfied (51 Votes)
2021	4.4 Satisfied (107 Votes)
2017	4.4 Satisfied (111 Votes)
2016	4.4 Satisfied (340 Votes)
2010	4.2 Satisfied (49 Votes)

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