Dss Form 30249 is a document used to request the release of records from state and local government agencies. The form can be used for any purpose, but is most commonly used to obtain police reports, court documents, or other records related to criminal activity. The process of obtaining records from state and local government agencies can be complicated, so it is important to understand the requirements of Dss Form 30249 before submitting your request. This blog post will provide an overview of the form and its use, as well as tips for completing the application successfully.
| Question | Answer |
|---|---|
| Form Name | Dss Form 30249 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | 3807a form, dss form 3807a, dss form 3807a april 18, sc dss recertification form |
South Carolina Department of Social Services
FOSTER CARE RESPITE/COLLEGE YOUTH OVERNIGHT PAYMENT INVOICE
Foster Care Respite Payment
OR
College Youth Overnight Payment
Make check Payable to:
Name of Provider:
Mailing Address:
Provider Social Security Number:
Form
Name of Foster Child:
Foster Parent Requesting Respite OR Name of College Youth Attends:
Date(s) of Respite/Overnight Visits:
Provider Signature: |
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Date: |
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Caseworker Signature: |
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Date: |
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FOR DSS STATE OFFICE ONLY |
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Amount Due:
Foster Parent Requesting Respite:
Provider ID No.:
Signature, Human Services Staff, State Office |
Date |
DSS Form 30249 (APR 10) Edition of FEB 10 is obsolete.