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Services Information System

NORTH CAROLINA DIVISION OF SOCIAL Services PREPARED BY PERFORMANCE MANAGEMENT/ REPORTING AND EVALUATION MANAGEMENT SECTION Services Information System (SIS) User's Manual Services Information System (SIS) User s Manual 07-01-2017 Table of Contents Topic Page SIS Client Entry Form (DSS-5027) 1- 9 Worker Daily Report of Services (DSS-4263) 1- 12 APPENDIX A Table of County Codes Used for the Services Information System A 1-2 Definitions of Table Values for Standard Fields A 3-11 Definitions of Table Values for Reserved Fields A 12-14 APPENDIX B Service Codes and Definitions for DSS-5027 and DSS-4263 B 1-59 APPENDIX C Program Code Definitions C 1-9 APPENDIX D (Removed 08-01-2010) D 1 APPENDIX E (Removed 01-01-2006) E 1 APPENDIX F (Removed 01-01-2006) F 1 APPENDIX G Repatriation Services G-1 North Carolina Division of Social Services DSS-5027 Services Information System (SIS) User s Manual 07-01-2011 1 INSTRUCTIONS FOR THE SIS CLIENT ENTRY FORM, DSS-5027 I.

INSTRUCTIONS FOR THE SIS CLIENT ENTRY FORM, DSS-5027 . I. PURPOSE OF THE FORM . The DSS-5027 is designed to be used to: • document the client's request/application for social services • document the client's income eligibility for services • provide notice to the client regarding the action taken on the request for services •

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policies.ncdhhs.gov

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policies.ncdhhs.gov

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policies.ncdhhs.gov

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policies.ncdhhs.gov

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policies.ncdhhs.gov

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policies.ncdhhs.gov

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policies.ncdhhs.gov

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