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SIS100 INSTRUCTIONS FOR THE SIS CLIENT ENTRY FORM …

North Carolina Division of Social Services DSS-5027 Services Information system (SIS) User s Manual 07-01-2011 1 SIS100 INSTRUCTIONS FOR THE SIS CLIENT ENTRY FORM DSS-5027 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 provide the CLIENT with information regarding rights and responsibilities and information on how to request and obtain a fair hearing transmit authorization to service providers to claim reimbursement for services provided open a service CLIENT information record in the Services Information system update service CLIENT information in the Services Information system This

SIS100 INSTRUCTIONS FOR THE SIS CLIENT ENTRY FORM DSS-5027 ... • open a service client information record in the Services Information System • update service client information in the Services Information System ... is a legal requirement to provide this to an applicant.

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