DSS-1809 - NC DHHS Online Publications - Home - info dhhs state nc-2026

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The document is an Affidavit of Parentage from the State of North Carolina, used to declare the parents or possible parents of a minor child for adoption purposes. It includes sections for the names, marital statuses, and addresses of the biological and legal parents, as well as a statement of intent to place the child for adoption in accordance with state law. The affidavit must be signed and notarized, and it is filed with the Clerk of Superior Court alongside other adoption-related documents.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name and relationship to the child in the designated fields. Specify whether you are the Mother, Father, Guardian, or another knowledgeable individual.
Fill in the child's original name and date of birth. If applicable, indicate if the child is expected to be born soon.
Complete the sections for both biological parents, including their names, marital status at the time of birth, and last known addresses. If there are multiple biological fathers, ensure all relevant information is provided.
If you are a legal father, fill out your details similarly. Make sure to provide accurate information as this will be used for legal purposes.
In the section regarding knowledge source, specify how you know about the child's parentage if not signed by a placing parent or guardian.
Finally, sign and date the affidavit at the bottom of the form. Ensure that a notary public acknowledges your signature as required.

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What is the NC Dhhs rapid response team?

This is an NCDHHS cross-divisional team that meets every weekday to facilitate the resolution of immediate needs for children in DSS custody who are in need of placement at the identified medically necessary level of care by removing barriers created by systemic issues, and by facilitating problem-solving and

What is the DSS Emergency Placement Fund NC?

The DSS Emergency Placement Fund is one ini�a�ve within $80 million allocated to directly support child and family well-being with specialty treatment programs and intensive supports for children with complex behavioral health needs.

What is the NC emergency grant?

The Emergency Solutions Grants Program (ESG) provides funding to qualified local governments and non-profit organizations to: Improve the number and quality of emergency shelters. Provide essential services to shelter residents. Re-house homeless individuals and families.

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