Nc dss5277 2025

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The document is a request form from the North Carolina Department of Health and Human Services for confidential information regarding child abuse, neglect, or dependency. It outlines the legal confidentiality requirements under G.S. § 7B-311, specifies that the information can only be used for certain mandated purposes, and provides instructions for submitting the request. The form includes sections for agency information, purpose of request, and details about the individuals involved.

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Click ‘Get Form’ to open the nc dss5277 in the editor.
Begin by filling in the 'Agency Information' section. Enter the name of your agency, followed by the name and signature of the authorized requestor. Ensure that you provide a complete address and contact information, including phone and fax numbers.
In the 'Purpose of Request' section, check one of the options that best describes why you are requesting this information. This helps clarify the context for your request.
Next, move to the 'Persons to be Checked' section. Fill in details for both the child and caretaker, including first names, middle initials, last names, dates of birth, sex, race, and last four digits of their Social Security Numbers.
Once all fields are completed accurately, review your entries for any errors before submitting. You can then submit your request on agency letterhead via fax or mail as indicated at the bottom of the form.

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What can and cannot CPS do in NC?

CPS can come to your house without warning, but they cannot enter without your permission. Unless CPS obtains a court order or believes your kid is in imminent danger, they cannot enter your house unless you provide authorisation.

What are the mandatory reporting requirements in NC?

Mandatory Reporting Requirements in North Carolina Child abuse and/or neglect by a parent, guardian, custodian or caretaker. Abuse, neglect or exploitation of a disabled or elder adult by their caretaker. Physicians and Hospitals must report to law enforcement certain kinds of wounds, injuries or illnesses.

For what reasons can a child be removed from home?

Common reasons social services would take a child into temporary or permanent care include: Emotional abuse. Physical abuse. Sexual abuse. Neglect. Medical neglect. Abandonment. If the parents have been incarcerated. Serious illness or death of parents.

How to prove a child is being abused?

Warning Signs of Physical Abuse in Children Frequent injuries or unexplained bruises, welts, or cuts. Is always watchful and on alert as if waiting for something bad to happen. Injuries appear to have a pattern such as marks from a hand or belt.

What are the grounds for CPS to remove a child in NC?

Causes serious physical injury to the child that does not happen by accident, or allows another to do so. Creates a substantial risk of serious physical injury to the child, other than by accident, or allows another to do so. Uses cruel or grossly inappropriate discipline on the child, or allows another to do so.

What are the grounds for termination of parental rights in North Carolina?

The court may terminate parental rights upon a finding of one or more of the following: The parent has abused or neglected the child. The parent has willfully left the child in foster care for more than 12 months without showing reasonable progress in correcting the conditions that led to the removal of the child.

Nc dss5277 2025

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