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4. Are any new adults 18 years old and up residing in the home DSS-5157 Rev 06/14 Child Welfare Services a. b. FOSTER HOME RELICENSE APPLICATION NORTH CAROLINA DIVISION OF SOCIAL SERVICES Attach Cover Letter and a copy of DSS-5015 License Action Request form for all requests Foster Parent s Name s Facility ID 1. Background Checks Must be completed on each foster parent and each adult 18 years old and up Name of Each Adult in the Home Type of Back.

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