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North Carolina Department of Health and Human Services ...

youth /Young Adult Name:_____ DOB:_____ DSS-5096a (Rev. 04/2018) Child Welfare Services Page 1 of 6 North Carolina Department of Health and Human Services | Division of Social Services PART A: TRANSITIONAL LIVING PLAN FOR youth /YOUNG ADULTS IN FOSTER care I. TRANSITIONAL LIVING PLAN Case Worker Name: _____ Case Worker Phone Number: (_____) _____ Parties to Case Plan: Name: _____ Name: _____ Address: _____ Address: _____ Phone Number: _____ Phone Number: _____ Email Address: _____ Email Address: _____ Name: _____ Name: _____ Address: _____ Address: _____ Phone Number: _____ Phone Number: _____ Email Address: _____ Email Address: _____ A.

continue in Foster Care 18 to 21 at this time. Note: If the youth opts to continue in Foster Care 18 to 21, the Transition Plan must be completed and the goals of the TLP (Section I.B) must be updated to reflect how the youth plans to meet eligibility requirements of the program. Foster Care 18 to 21: 1.

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  Forest, Care, Youth, Foster care, In foster care

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