Dss Form 1536 PDF Details

DSS Form 1536-A is used to report the income and assets of a person receiving benefits from the Temporary Assistance for Needy Families (TANF) program. The form must be completed by both the beneficiary and the responsible party, such as a spouse or parent. The information on DSS Form 1536-A is used to determine eligibility for TANF benefits and to calculate the amount of benefits that can be provided. It is important to ensure that all information is accurate and up-to-date, as any misrepresentation could lead to a suspension or termination of benefits.

QuestionAnswer
Form NameDss Form 1536
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesSouth_Carolina, DSS, LICENSING, dss 1706

Form Preview Example

South Carolina Department of Social Services

ORIGINAL LICENSING/RELICENSING/CHANGES

FOR RESIDENTIAL FACILITYAND CHILD PLACINGAGENCY LICENSING

Check One: n Original Residential Application n Residential Relicensing

n Change in License Status (Answer sections Aand B only) n Original Child PlacingAgencyApplication

n Child PlacingAgency Relicensing

 

 

 

SectionA

Facility Name:

 

 

Director’s Name:

 

 

Mailing Address:

 

 

Telephone:

 

Location:

 

 

 

 

 

 

This facility has been studied by

and has been found to be suitable for the following:

Section B

No. of Children to be Cared for in Facility:

 

 

 

Age Range:

 

 

 

Gender:

 

 

 

 

Director’s Signature:

 

 

 

 

 

 

 

 

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section C

 

 

 

 

 

 

 

 

n 1.

Facility Closed

 

 

 

n 4. Change License From

 

 

to

 

 

 

 

 

 

 

n 2.

Change ofAddress (Give new address below)

 

 

 

n 5.

Revoke License

 

 

 

 

n 3.

Change Number of Children From

 

to

 

 

n 6.

Other: (Specify)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Comments:

Signature and Title of DSS Representative:

 

Date:

Section D – LicenseApproval – State Office Use Only

Check Appropriate Box:

n ALicense Has Been Issued as Listed Below n The Change Requested Has Been Noted in Our Files

License No.:

 

 

Number, Age and Gender of Children:

 

Issuance Date:

 

 

Expiration Date:

 

 

Signature:Date:

State Director or Designee, South Carolina Department of Social Services

DSS Form 1536 (MAR 11) Edition ofAUG 87 is obsolete.

How to Edit Dss Form 1536 Online for Free

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1. Fill out your sc dss form 1706 with a group of essential blank fields. Get all the information you need and be sure absolutely nothing is left out!

Learn how to fill out LICENSING step 1

2. Your next part is usually to submit these blank fields: Comments, Signature and Title of DSS, Date, Section D License Approval State, Check Appropriate Box nn A License, License No, and Number Age and Gender of Children.

LICENSING completion process shown (portion 2)

3. The next segment is pretty uncomplicated, Issuance Date, Signature, Expiration Date, State Director or Designee South, Date, and DSS Form MAR Edition of AUG is - all these blanks is required to be completed here.

Step # 3 for completing LICENSING

Always be really mindful when filling out State Director or Designee South and Signature, as this is where a lot of people make errors.

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