Part II: the absent parent/grandparent who is contributing financially to the SNAP household/TANF benefit group completes this section.
Part I: the DSS worker requesting information should complete this section in its entirety.
Child names: the DSS worker will also list the name(s) of the child(ren) by question one.
Return: sign and return to SC Department of Social Services.
Obsolete edition: the edition of OCT 19 is obsolete.
| Question | Answer |
|---|---|
| Form Name | DSS Form 1216 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 56 |
| Avg. time to fill out | 10 min |
| Edition | JAN 22 |
| Issuing agency | South Carolina Department of Social Services |
| Other names | DSS 1216, DSS Form 1216, 1216, DSS form 1216 voluntary child support, South Carolina DSS voluntary child support form |
| Official source | DSS Form 1216 (JAN 22), South Carolina Department of Social Services |
Dss Form 1216 isn’t the one you’re looking for?