Dss 5240-2026

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The document is a North Carolina Out-of-Home Family Services Agreement, outlining the details of a child's case managed by the Division of Social Services. It includes identifying information for the child and caregivers, primary and secondary permanency plans, current placement information, objectives to address identified needs, progress reviews, barriers to achieving permanency, and services provided to both the child and placement provider. The agreement emphasizes collaboration among family members, social workers, and legal representatives to ensure the child's welfare and outlines steps for potential reunification or alternative permanent living arrangements.

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Click ‘Get Form’ to open the dss 5240 in the editor.
Begin by filling in the identifying information section. Enter the county number, case number, and date at the top of the form.
In Section I, provide details for each child and caregiver involved. Include names, addresses, dates of birth, and phone numbers as required.
Move to Section II to select the primary permanency plan. Check one option that best fits your situation and fill in anticipated completion dates.
Continue through Sections III to XIV, addressing current placement information, objectives, barriers, and services provided. Ensure all fields are completed accurately.
Review all entries for accuracy before saving or sharing your completed form. Utilize our platform’s features to sign or distribute as needed.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (210 Votes)

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