Dss Form 2963 PDF Details

In order to be considered for housing assistance, applicants must complete the Dss Form 2963. This form is used to determine an applicant's eligibility for various types of housing assistance, as well as their priority for placement. The information on this form is used to create a housing assistance plan for the applicant. The Dss Form 2963 can be completed online or in person at your local Department of Social Services office. If you are interested in applying for housing assistance, be sure to complete the Dss Form 2963. This form will help determine your eligibility and priority for placement. You can complete the form online or in person at your local Department of Social Services office.

QuestionAnswer
Form NameDss Form 2963
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namessc dss 2963, sc dss form 2964, 2963 south carolina, dss form 2964

Form Preview Example

South Carolina Department of Social Services

Child Care Licensing

CHILD CARE FACILITY CURRENT LIST OF CHILDREN

(Please group children by the following age levels: Under Two, Two, Three, Four, Five, and 6 and above.)

Name of Facility:

 

 

County:

 

Physical Address: (Street, City, State, Zip)

 

Date:

 

 

Child’s Name

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

Age

Days in

Facility

(Ex. Mon.,

Wed., Fri.

Arrival Departure

Time Time

Immunization

DSS Form 2900

Child’s General Rec.

Medication

Authorization

DSS Use Only

Discipline Policy Statement

Swim

Field Trips

 

 

 

Corporal Punishment

Treatment

Medical

Emergency

ID Verification

DSS Form 2963 (JUN 09) Edition of March 94 is obsolete.

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