DSS Form 2627A Repayment Agreement and Acknowledgment of Debt - South Carolina

DSS Form 2627A Repayment Agreement and Acknowledgment of Debt - South Carolina

What Is DSS Form 2627A?

This is a legal form that was released by the South Carolina Department of Social Services - a government authority operating within South Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSS Form 2627A?
A: DSS Form 2627A is the Repayment Agreement and Acknowledgment of Debt form.

Q: What is it used for?
A: It is used in South Carolina for individuals who owe a debt to the South Carolina Department of Social Services (DSS).

Q: Is this form specific to South Carolina?
A: Yes, this form is specific to South Carolina and is used by their Department of Social Services.

Q: What does the form include?
A: The form includes information about the debt owed, the repayment agreement, and the acknowledgement of the debt.

Q: What happens if I don't submit this form?
A: If the form is not submitted, it may result in further actions being taken to collect the debt.

Q: Can this form be used for debts owed to other departments?
A: No, this form is specifically for debts owed to the South Carolina Department of Social Services.

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Form Details:

  • Released on May 1, 2010;
  • The latest edition provided by the South Carolina Department of Social Services;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DSS Form 2627A by clicking the link below or browse more documents and templates provided by the South Carolina Department of Social Services.

Download DSS Form 2627A Repayment Agreement and Acknowledgment of Debt - South Carolina

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