North Carolina Department of Health and Human Services Forms

This document is used for applying to become authorized to provide alcohol and drug education traffic school (ADETS) for DWI offenders in North Carolina.

This document determines an individual's ability to provide consent for protective services in North Carolina.

This document is used to notify the District Attorney and/or Law Enforcement in North Carolina as required by G.S. 108A-109.

This document is a quarterly review for APS clients located in North Carolina. It provides updates and information regarding the services and performance of APS.

This document provides a written report of the evaluation conducted by Adult Protective Services in North Carolina to assess the safety and well-being of vulnerable adults and determine if intervention or support is needed. The report includes findings, recommendations, and actions taken to protect and assist individuals who may be at risk of abuse, neglect, or exploitation.

This document is a notice to a reporter in North Carolina regarding an APS (Adult Protective Services) case.

This document is a notice from the North Carolina Department of Public Safety to a reporter whose application to access certain records has been reviewed.

This document is a log used by Adult Protective Services in North Carolina to record information about cases involving the protection of vulnerable adults.

This document is a notice to a reporter in North Carolina stating that their report has been screened out by the Adult Protective Services (APS).

This form is used for evaluating the services provided by Adult Protective Services in North Carolina. It allows residents to provide feedback and assess the effectiveness of these services in the community.

This form is used for transferring client information in the state of North Carolina. It provides a standard template to collect and record important details for seamless transfer of information between agencies or individuals.

This Form is used for participants in the NC DaaS Consumer Directed Services program in North Carolina to assess their progress and needs.

This form is used for appointing a representative to act on behalf of a participant in North Carolina.

This document provides a backup plan for Consumer Directed Services in North Carolina. It outlines alternative steps to ensure individuals continue to receive necessary services in case of any disruptions.

This document outlines the rights and responsibilities of participants in North Carolina. It aims to ensure fair and ethical treatment in various activities or programs.

This form is used for referring participants to Financial Management Services in North Carolina.

This Form is used for notifying changes to financial management services in North Carolina. It is essential for tracking and documenting updates in the financial management process.

This form is used for job applicants in North Carolina to provide consent for a criminal record check as part of the employment application process.

This document outlines the rights and responsibilities of personal assistants in North Carolina. It provides guidelines and protections for both employers and employees in this role.

This Form is used for entering into a fiscal management service agreement in North Carolina. It outlines the terms and conditions of the agreement between the parties involved in managing financial resources.

This Form is used for assessing or reassessing services in North Carolina.

This form is used for evaluating the condition and performance of facilities in North Carolina. It helps to assess the quality and functionality of buildings and assess any necessary repairs or improvements.

This document is an inquiry form for individuals interested in a child placing agency adoption in North Carolina. It is used to gather information from potential adoptive parents.

This Form is used for reporting medication errors in North Carolina and to improve incident response in healthcare settings.

This form is used for inquiring about a residential child care facility in North Carolina.

This document is used for reporting allegations of abuse, neglect, and exploitation in North Carolina as part of the Incident Response Improvement System.

This type of document is an Injury Incident Report Form used as part of the Incident Response Improvement System in North Carolina. It is used to document and address injuries that occur within a specific incident.

This document outlines the Incident Response Improvement System that focuses on consumer behavior in the state of North Carolina. It provides strategies and recommendations for enhancing consumer experiences and addressing incidents effectively.

This document is for students in North Carolina who have been involved in incidents that may lead to suspension or expulsion from school. It provides information and guidance on the process of addressing and improving student behavior in these situations.

This document is an inquiry form for a residential maternity home in North Carolina. It is used to gather information from individuals who are interested in staying at the facility.

This document is used for reporting fire incidents in North Carolina and for identifying ways to improve incident response.

This form is used for notifying changes in the commitment status of an individual in North Carolina.

This form is used for the evaluation of individuals seeking admission or continued stay in North Carolina.

This form is used for notifying the authorities in North Carolina about the return of an individual who has escaped or been released on conditional release.

This form is used for obtaining an Emergency Certificate in North Carolina. It is a document that allows medical professionals to provide emergency care in certain situations.

This form is used for requesting the return of an escapee or conditional releasee in North Carolina.

This document is a request form for individuals to obtain their own information from the Controlled Substances Reporting System in North Carolina.

This Form is used for registering a service animal for people with disabilities in North Carolina.

This document is for the Incident Response Improvement System in North Carolina, which aims to improve the response to restrictive interventions. It provides guidelines and strategies for handling incidents involving restrictive interventions.

This form is used for requesting a certificate of absolute divorce or annulment in the state of North Carolina. It is a legal document that verifies the dissolution of a marriage.