South Carolina Department of Social Services Forms

This Form is used for tracking and verifying job search activities in South Carolina.

This Form is used for simplified reporters in South Carolina to report changes.

This form is used for prospective foster or adoptive parents in South Carolina to provide a medical report.

This Form is used for recording medical or dental encounters in South Carolina.

This Form is used for enrolling out-of-state healthcare providers in South Carolina.

This form is used for reporting abandoned infants at safe havens in South Carolina.

This form is used for referring children in the South Carolina Child Protective Services/Foster Care system to receive child care services.

This form is used for the South Carolina Voucher Program Family, Friend, and Neighbor Child Care Certification. It is a certification document for individuals providing child care services to eligible families through the voucher program in South Carolina.

This form is used for requesting reimbursement for health and safety grants in the South Carolina Voucher Program for Family, Friend, and Neighbor Providers.

This document is an important notification to providers participating in the South Carolina Voucher Program. It contains information and updates regarding the program.

This Form is used for enrolling Level A and B providers in the South Carolina SC Voucher Program.

This form is used for South Carolina providers to submit their ABC Quality Rating and Improvement System Provider Rate.

This Form is used for the South Carolina Voucher Program Level a Provider Agreement for the DSS.

This Form is used for providers in the South Carolina Voucher Program Level B to agree to the terms and conditions of the program.

This document is used for enrolling and agreeing to be a Level C provider in the ABC Child Care Program in South Carolina.

This form is used for certifying provider rates for the South Carolina Voucher Program Level C.

This Form is used for accepting notice of private HIPAA practices in South Carolina. (Spanish)

This Form is used for making payment agreements and acknowledging debt in South Carolina. (Spanish)

This Form is used for collecting site information for the Afterschool Snack Program in South Carolina.

This form is used for collecting applicant/recipient information in South Carolina. It is a questionnaire that gathers important details from individuals applying for certain benefits or assistance programs.

This form is used for applying for a foster family home license for a child-placing agency in South Carolina.

This form is used for applying for IV-E eligibility in South Carolina. IV-E eligibility refers to the eligibility for certain federal financial assistance programs for children in foster care.

This form is used for applying for free and reduced-price meals in adult care food programs in South Carolina.

This Form is used for applying for a license in South Carolina. It is called DSS Form 1521.

This document is used by child care homes in South Carolina to apply for participation in the DSS (Department of Social Services) program.

This Form is used for child care and adult day care centers in South Carolina to apply for participation in the Child and Adult Care Food Program (CACFP).

This form is used for applying for the renewal of a license in South Carolina.

This form is used to apply for assistance for elderly individuals in South Carolina.

This form is used for assessing the applicant's participation in foster/adoptive training in South Carolina.

This form is used for ensuring compliance with the Multiethnic Placement Act of 1994 (MEPA) in South Carolina.

This form is used for applying to participate in the At-Risk Afterschool Care Program/Outside School Hours Program in South Carolina.

This Form is used for authorizing a special investigation in South Carolina. It is commonly used by the Department of Social Services (DSS) to gather information and evidence for cases involving child abuse, neglect, or other special circumstances.

This document is used to inform a foreign consulate about a child protection procedure in South Carolina.

This document is used for gathering fiscal resources and financial history information in South Carolina.

This Form is used for providing biological family history information in South Carolina.

This Form is used for creating a training plan for sponsors in South Carolina under the DSS program.

This document is for requesting a change in the custody parent's support application for child maintenance in South Carolina.

This document is used for the CACFP (Child and Adult Care Food Program) monitoring schedule in South Carolina.