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  1. Click ‘Get Form’ to open the nc dss5277 in the editor.
  2. 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.
  3. 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.
  4. 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.
  5. 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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