Form Dss 8551 PDF Details

Understanding the DSS-8551 form is crucial for individuals engaged with the North Carolina Department of Health and Human Services, especially regarding Food and Nutrition Services. This form serves as a communication tool between the department and recipients, detailing decisions on eligibility, denials, or pending status of their applications. It signifies an essential step in the application process for Food and Nutrition Services, indicating whether immediate needs have led to a deferral in the collection of certain information, the specifics of benefit allocations for approved months, or the reasons behind the denial of services. Furthermore, the form provides guidance on next steps for applicants, including how to supply additional required information, the process for disputing decisions through fair hearings, and where to seek free legal advice, specifically pointing to resources like Legal Aid of North Carolina. By mapping out these procedures, the DSS-8551 form not only informs recipients about the status of their application but also outlines critical actions necessary to maintain or appeal for benefits, making it a pivotal document in the public assistance landscape.

QuestionAnswer
Form NameForm Dss 8551
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesNorth_Carolina, weve, dss8551, Dawson

Form Preview Example

NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES

Division of Social Services

NOTICE OF ELIGIBILITY, DENIAL OR PENDING STATUS

Date

Name

Address

We’re writing to tell you about the action we’ve taken on your Food and Nutrition Services case. If you have been approved to receive Public Assistance and/or SSI benefits or benefits from a State or local General Assistance program let your local agency know.

We’ve explained our action next to the box(es) marked.

Case Number:

Because you need Food and Nutrition Services right away, we postponed asking you to give us certain information. We now need you to bring or mail in the following information:

You’ll receive Food and Nutrition Services during the month(s)

of:

The first month you’ll receive___________ which covers

the month(s) of:

After this first month you’ll receive

Your application has not been approved because:

You didn’t do everything required for us to find out if you are eligible for Food and Nutrition Services. Here’s what you still

need to do:

Benefits will not be issued past the first month unless you provide the information we asked for in the space above. If the information results in a change in your eligibility or level of benefits, we will act on those changes without giving you advance notice. If you do not provide the information we asked for by

______________, we will close your case without further notice.

You can have a fair hearing of your case if you do not agree with our decision. You must request a hearing no later than

. In addition, if you have been

certified, you can request a hearing at any time to dispute your current level of benefits. To request a fair hearing call the Food and Nutrition Services office at

or

fill out and return the form below. You can also call this number if you want to know more about how a fair hearing works. Free legal advice is available. Contact Legal Aid of North Carolina office. Street: 224 South Dawson St. Raleigh, NC 27601. Mailing: PO Box 26087 Raleigh, NC 27611 1-866-219-5262

If you do this by

you won’t have to reapply.

If you want a fair hearing, fill out this form, tear it off, and mail to:

Sincerely,

Telephone Number

Name of person requesting hearing

Address

Telephone number where you can be reached

 

Your signature

Today’s date

 

 

 

 

 

 

 

Use this space to tell us why you want a fair hearing

 

 

 

 

For office use only

 

 

 

 

 

 

Case number

 

Case worker

 

Date notice sent

Date request received

 

 

 

 

 

 

 

ACTION TAKEN ON YOUR FOOD AND NUTRITION SERVICES CASE

DSS-8551 (Rev. 10/15) Economic and Family Services

How to Edit Form Dss 8551 Online for Free

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This PDF will require specific info to be filled in, thus you must take whatever time to fill in what is expected:

1. Start filling out your Raleigh with a number of major fields. Consider all of the required information and make sure absolutely nothing is left out!

Writing section 1 in SSI

2. The subsequent stage is usually to submit these fields: of The first month youll receive, Your application has not been, You didnt do everything required, If you do this by you wont have to, If you want a fair hearing fill, In addition if you have been, Benefits will not be issued past, Telephone number where you can be, Your signature, and Todays date.

Your signature, Todays date, and of The first month youll receive in SSI

3. This third section should be pretty easy, Telephone number where you can be, Case number, Case worker, Date notice sent, Date request received, Action Taken on Your Food and, and DSS Rev Economic and Family - all of these fields must be filled out here.

SSI writing process shown (portion 3)

You can certainly make errors when filling out the Telephone number where you can be, hence ensure that you take a second look before you decide to send it in.

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