Dss Form 2905 PDF Details

Dissolution of marriage, or divorce, is the legal process by which a marriage is terminated. In Kentucky, there are specific requirements that must be met before a divorce can be granted. One of the most important forms in a Kentucky dissolution case is Form 2905, the Financial Statement. This form requires each spouse to provide detailed financial information, including income, expenses, and assets and liabilities. This information is used by the court to determine how to divide property and debts between the spouses. Filing Form 2905 accurately and timely is critical in ensuring that your divorce goes as smoothly as possible. If you have any questions about completing this form or any other aspect of your divorce case, please contact an experienced Kentucky family law attorney for guidance.

QuestionAnswer
Form NameDss Form 2905
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesOCT, dhec, APPLICANTS, South_Carolina

Form Preview Example

South Carolina Department of Social Services

Child Care Licensing

DHEC-FIRE INSPECTION REQUEST: CHILD CARE FACILITY

To be completed in full by the Director/Operator and returned with a check or money order in the amount of $60.00 payable to DHEC. Mail check and form to your DSS Child Care Licensing Regional Office OR submit payment online at childcare.sc.govand mail this form to your DSS Child Care Licensing Regional Office.

Type of Inspection Requested: n DHEC Sanitation Inspection (New and renewal applications)

n Fire Inspection (New applications only – renewal requests are generated automatically)

Type of Facility: n Child Care Center (13 or more children)

n Group Child Care Home

 

 

 

 

 

n Faith-Based Facility

 

 

n Family Child Care Home

 

 

Facility Name:

 

 

 

 

 

County:

 

 

 

Days of Operation: (Check all that apply) n Mon.

n Tues.

n Wed.

n Thur.

n Fri. n Sat.

n Sun.

Facility Address:

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

Zip:

 

 

 

 

Telephone: (

 

)

 

Mailing Address: (If different from above)

 

 

 

 

 

 

 

 

 

 

 

 

Name of Director/Operator:

 

 

 

 

 

Hours of Operation:

 

 

 

 

Overnight care provided? (Care provided anytime between 1:00 AM and 5:00 AM) n Yes

 

n No

 

 

Name and Telephone Number of Facility Contact Person:

 

 

 

 

 

 

 

 

 

n Director n Operator n Sponsoring Agency Rep.

n Owner

n Buyer

 

n Other

 

 

List ALL buildings or portables in Licensed/Registered facilities and ALL rooms used for child care in public schools:

n Payment for DHEC inspection was submitted online.

Date of Online Payment:

 

 

/

 

 

 

/

 

 

 

 

 

 

 

 

Payment Type: n Credit Card n Debit Card n Electronic Check

Payment Reference No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Director/Operator:

 

 

 

 

Date:

 

 

 

 

 

FOR NEW APPLICANTS ONLY

Directions to Facility: (Include specific details indicating nearby landmarks when facilities are in isolated rural areas or other hard to find locations. Use back of form if necessary.)

DSS USE ONLY – Complete and send to DHEC

Please check type of inspection requested:

n New Application n New Construction n Renovation

n Renewal

 

 

 

 

 

 

 

 

 

 

 

Expiration Date

Please mail Inspection Report to the attention of

 

 

 

 

 

at the address shown below:

 

 

DSS Child Care Licensing Specialist

Online Payment Verified by:

 

 

 

 

Date Mailed to DHEC:

 

 

Authorized DSS Staff Member

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DSS Form 2905 (JUN 12) Edition of MAR 12 is obsolete.

How to Edit Dss Form 2905 Online for Free

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When it comes to fields of this precise form, here's what you need to do:

1. To start with, once filling out the landmarks, begin with the form section that contains the next blank fields:

Tips on how to fill in dhec stage 1

2. Your next step would be to complete these particular fields: nn Payment for DHEC inspection was, Payment Type nn Credit Card nn, Signature of DirectorOperator, Date, FOR NEW APPLICANTS ONLY Directions, DSS USE ONLY Complete and send to, Expiration Date, Please mail Inspection Report to, DSS Child Care Licensing Specialist, Online Payment Verified by, Authorized DSS Staff Member, Date, and Date Mailed to DHEC.

Authorized DSS Staff Member, Online Payment Verified by, and Signature of DirectorOperator in dhec

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