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Forms State/County Special Assistance for Adult Forms https://policies-dev.ncdhhs.gov/divisional/aging-and-adult/special-assistance/forms https://policies-dev.ncdhhs.gov/logo.png

Forms

State/County Special Assistance for Adult Forms

Title	Effective Date
DAAS-0040 SA Overpayment Tracking Tool	Dec 01, 2021 09:15 AM

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NC Department of Health and Human Services
2001 Mail Service Center
Raleigh, NC 27699-2001
919-855-4800

Division of Budget and Analysis
2001 Mail Service Center
Raleigh, NC 27699-2001
919-855-4850