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• A DSS-3431, Request for Financial Information, if appropriate;

• Register of Deeds/property check (including parents’ names, spouse’s name(s), spouse’s parents’ names), and any other leads, if appropriate

• Verify all other available online verifications (SOLQI, OVS, On- Line Data, AVS) as appropriate;

• A DHB-5097, Request for Information (which must include the request for FL-2, if not provided)

NOTE 1: If a disability determination is necessary or being

requested, refer to Medicaid policy.

NOTE 2: If an applicant applies in more than one North Carolina

county, the county of legal residence will process the application

protecting the first date (earliest date) of application.

NOTE 3: If there is a dispute between counties concerning the

above procedures, contact SA Program Representatives by sending a DSS-9000SA form to the SA listserv at specialassistance@dhhs.nc.gov.

2. The DSS taking the courtesy application has the following

responsibilities:

a. Submit the application in NC Fast. Follow the relevant NC FAST

Job Aid to transfer the application to the county of residence

within two (2) business days.

b. Contact the county of residence to ensure that they are aware of

the application. The application should appear as a task in the

county of residence’s work queue for processing.

c. Send all items concerning the complete application

electronically or by US Mail to the DSS in the applicant’s

county of residence within 24 hours or one business day. If

the application date falls on the day before a weekend or holiday,

forward all the information the following business day.

d. Notify the contact person at the applicant’s county of residence

that the application has been mailed.

e. Maintain a copy of all the application information, in case the

information is lost or destroyed in the mailing process.

SA-3110 IV.