Dss Form 1670 PDF Details

In the realm of family assistance and child care support, the importance of systematic documentation cannot be overstressed. Among the critical documents employed by the South Carolina Department of Social Services (DSS), the DSS 1670 form, titled "Child Care Payment Verification Form," plays a pivotal role. This document serves as a bridge connecting caregivers and the DSS, ensuring that child care payments are verified accurately and efficiently. Designed for the Family Assistance Program, it requires detailed information about the recipient, including their name, county DSS case number, and the specific DSS worker assigned to their case. It records the payment amount billed for child care on a weekly, monthly, or other specified basis for the recipient’s children. Additionally, it inquires about the recipient’s receipt of ABC vouchers, Family Independence (FI) benefits, and Supplemental Nutrition Assistance Program (SNAP) benefits, providing a comprehensive look at the financial assistance they may be receiving. Caregivers are asked to print their name, provide their contact information, and furnish their social security number, ensuring accountability and simplifying communication channels. This form, while straightforward in its layout, is fundamental in streamlining the process of verifying child care payments, showcasing the interconnectedness of financial support services and the families they aim to benefit.

QuestionAnswer
Form NameDss Form 1670
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namessc abc voucher online application, abc vouchers south carolina application, abc voucher application sc, abc voucher application

Form Preview Example

South Carolina Department of Social Services

 

Family Assistance Program

CHILD CARE PAYMENT VERIFICATION FORM

Return Form To:

Recipient’s Name:

 

 

County DSS

Case No.:

 

 

 

 

 

Case Name:

 

Worker’s Name:

I certify that the above named recipient is billed $

per: Week

Month

Other: (Explain)

for the following children:

Do you receive any ABC vouchers for the above named recipient/children?

Yes

No

I

Do

Do Not

receive Family Independence (FI) benefits.

 

 

I

Do

Do Not

receive Supplemental Nutrition Assistance Assistance Program (SNAP) benefits.

Name of Caregiver: (Please print)

 

 

 

 

Address:

 

 

 

 

 

 

 

Telephone No.:

 

 

 

Social Security No.:

 

Your Signature:

Date:

DSS Form 1670 (NOV 09) Edition of OCT 81 is obsolete.

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