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Cansler Secretary Sherry S. Bradsher Director 919 733-3055 January 29 2010 DEAR COUNTY DIRECTOR OF SOCIAL SERVICES DEAR PRIVATE AGENCY DIRECTOR SUBJECT FOSTER HOME LICENSING FORMS 5016 5157 AND 1515 Attached is a revised Foster Home License Form DSS 5016 instructions for completing Form DSS 5016 and revised Foster Home Relicense Termination and Change Request Application Form DSS 5157. These forms have been updated to reflect changes in administr.

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