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102
!["North Carolina New Hire Reporting Form" - North Carolina](https://data.templateroller.com/pdf_docs_html/1999/19995/1999522/north-carolina-new-hire-reporting-form-north-carolina.png ""North Carolina New Hire Reporting Form" - North Carolina")
"North Carolina New Hire Reporting Form" - North Carolina
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1 page
This is a document that is used by employers in the state of North Carolina to report information about their employees who have been newly hired, rehired, or have returned to work.
![Form 8 "Nurse Aide I Training Faculty Requirements Worksheet" - North Carolina](https://data.templateroller.com/pdf_docs_html/413/4139/413930/form-8-nurse-aide-i-training-faculty-requirements-worksheet-north-carolina.png "Form 8 "Nurse Aide I Training Faculty Requirements Worksheet" - North Carolina")
![Individual Form B "North Carolina Transitions to Community Living Initiative Informed Decision-Making Tool" - North Carolina](https://data.templateroller.com/pdf_docs_html/2103/21039/2103990/individual-form-b-north-carolina-transitions-to-community-living-initiative-informed-decision-making-tool-north-carolina.png "Individual Form B "North Carolina Transitions to Community Living Initiative Informed Decision-Making Tool" - North Carolina")
![Form NC-YF-009 "Refrigerated Vaccine Temperature Storage Log - North Carolina Immunization Program" - North Carolina](https://data.templateroller.com/pdf_docs_html/298/2982/298268/form-nc-yf-009-refrigerated-vaccine-temperature-storage-log-north-carolina-immunization-program-north-carolina.png "Form NC-YF-009 "Refrigerated Vaccine Temperature Storage Log - North Carolina Immunization Program" - North Carolina")
![Form DSS-8207 "Application for Food and Nutrition Services" - North Carolina](https://data.templateroller.com/pdf_docs_html/1881/18819/1881994/form-dss-8207-application-food-and-nutrition-services-north-carolina.png "Form DSS-8207 "Application for Food and Nutrition Services" - North Carolina")
![Form DHHS2089 "Certificate of Absolute Divorce or Annulment" - North Carolina](https://data.templateroller.com/pdf_docs_html/1884/18840/1884010/form-dhhs-2089-certificate-absolute-divorce-or-annulment-north-carolina.png "Form DHHS2089 "Certificate of Absolute Divorce or Annulment" - North Carolina")
![Form DSS-4451 "Application for Services" - North Carolina](https://data.templateroller.com/pdf_docs_html/1881/18819/1881995/form-dss-4451-application-services-north-carolina.png "Form DSS-4451 "Application for Services" - North Carolina")
![Formulario DSS-4451 "Solicitud De Servicios De Sustento De Menores" - North Carolina (Spanish)](https://data.templateroller.com/pdf_docs_html/1881/18819/1881996/form-dss-4451-solicitud-de-servicios-de-sustento-de-menores-north-carolina.png "Formulario DSS-4451 "Solicitud De Servicios De Sustento De Menores" - North Carolina (Spanish)")
![Form DHHS1247 "Mycobacteriology (Tb)" - North Carolina](https://data.templateroller.com/pdf_docs_html/1729/17293/1729371/form-dhhs-1247-mycobacteriology-tb-north-carolina.png "Form DHHS1247 "Mycobacteriology (Tb)" - North Carolina")
![Form DHHS4108 "Request and Consent for Levonorgestrel Releasing Intrauterine Device" - North Carolina](https://data.templateroller.com/pdf_docs_html/1729/17292/1729242/form-dhhs-4108-request-and-consent-levonorgestrel-releasing-intrauterine-device-north-carolina.png "Form DHHS4108 "Request and Consent for Levonorgestrel Releasing Intrauterine Device" - North Carolina")
![Form DMA-9052 "Adult Care Home Notice of Transfer/Discharge" - North Carolina](https://data.templateroller.com/pdf_docs_html/412/4124/412483/form-dma-9052-adult-care-home-notice-transfer-discharge-north-carolina.png "Form DMA-9052 "Adult Care Home Notice of Transfer/Discharge" - North Carolina")
![Form DMA-5048 "Medicaid Transportation Exception Verification" - North Carolina](https://data.templateroller.com/pdf_docs_html/273/2738/273841/form-dma-5048-medicaid-transportation-exception-verification-north-carolina.png "Form DMA-5048 "Medicaid Transportation Exception Verification" - North Carolina")
![Form DSS-5169 "Consent of Child for Adoption" - North Carolina](https://data.templateroller.com/pdf_docs_html/235/2354/235424/form-dss-5169-consent-child-adoption-north-carolina.png "Form DSS-5169 "Consent of Child for Adoption" - North Carolina")
![Form DSS-5189 "Consent to Adoption by Parent Who Is Spouse of Stepparent (Stepparent Adoption)" - North Carolina](https://data.templateroller.com/pdf_docs_html/412/4126/412638/form-dss-5189-consent-to-adoption-by-parent-who-is-spouse-stepparent-stepparent-adoption-north-carolina.png "Form DSS-5189 "Consent to Adoption by Parent Who Is Spouse of Stepparent (Stepparent Adoption)" - North Carolina")
![Form DSS-5190 "Consent to Adoption by Parent Who Is Not the Stepparent's Spouse (Stepparent Adoption)" - North Carolina](https://data.templateroller.com/pdf_docs_html/412/4126/412644/form-dss-5190-consent-to-adoption-by-parent-who-is-not-the-stepparent-s-spouse-stepparent-adoption-north-carolina.png "Form DSS-5190 "Consent to Adoption by Parent Who Is Not the Stepparent's Spouse (Stepparent Adoption)" - North Carolina")
![Form DSS-1688 "Designation of Authorized Representative" - North Carolina](https://data.templateroller.com/pdf_docs_html/412/4125/412582/form-dss-1688-designation-authorized-representative-north-carolina.png "Form DSS-1688 "Designation of Authorized Representative" - North Carolina")
![Form DSS-6969 "Consent for Release of Information" - North Carolina](https://data.templateroller.com/pdf_docs_html/412/4127/412714/form-dss-6969-consent-release-information-north-carolina.png "Form DSS-6969 "Consent for Release of Information" - North Carolina")
![Form DMA-5124 "Medicaid Transportation Provider Documentation" - North Carolina](https://data.templateroller.com/pdf_docs_html/412/4124/412457/form-dma-5124-medicaid-transportation-provider-documentation-north-carolina.png "Form DMA-5124 "Medicaid Transportation Provider Documentation" - North Carolina")
![Form DMA-5063 "Health Check (Medicaid) Nc Health Choice for Children Application" - North Carolina](https://data.templateroller.com/pdf_docs_html/47/475/47534/form-dma-5063-health-check-medicaid-nc-health-choice-children-application-north-carolina.png "Form DMA-5063 "Health Check (Medicaid) Nc Health Choice for Children Application" - North Carolina")
![Form DMA-5047 "Medicaid Transportation Assessment" - North Carolina](https://data.templateroller.com/pdf_docs_html/412/4124/412485/form-dma-5047-medicaid-transportation-assessment-north-carolina.png "Form DMA-5047 "Medicaid Transportation Assessment" - North Carolina")
![Form DSS-5159 "Foster Home Change Request Application" - North Carolina](https://data.templateroller.com/pdf_docs_html/412/4126/412609/form-dss-5159-foster-home-change-request-application-north-carolina.png "Form DSS-5159 "Foster Home Change Request Application" - North Carolina")
![Form 4207 "Resident Register Form" - North Carolina](https://data.templateroller.com/pdf_docs_html/413/4139/413917/form-4207-resident-register-form-north-carolina.png "Form 4207 "Resident Register Form" - North Carolina")
![Form DSB-7219 "Application for Conference" - North Carolina](https://data.templateroller.com/pdf_docs_html/1881/18819/1881992/form-dsb-7219-application-conference-north-carolina.png "Form DSB-7219 "Application for Conference" - North Carolina")
![Form DMA-5106 "Medicaid Pace Program Referral" - North Carolina](https://data.templateroller.com/pdf_docs_html/412/4124/412484/form-dma-5106-medicaid-pace-program-referral-north-carolina.png "Form DMA-5106 "Medicaid Pace Program Referral" - North Carolina")
![Form DMA-5043 "Verification Form for Self-employment Income and Expenses" - North Carolina](https://data.templateroller.com/pdf_docs_html/263/2633/263374/form-dma-5043-verification-form-self-employment-income-and-expenses-north-carolina.png "Form DMA-5043 "Verification Form for Self-employment Income and Expenses" - North Carolina")
![Form DMA-5200 "Application for Health Coverage & Help Paying Costs" - North Carolina](https://data.templateroller.com/pdf_docs_html/2049/20495/2049541/form-dma-5200-application-for-health-coverage-help-paying-costs-north-carolina.png "Form DMA-5200 "Application for Health Coverage & Help Paying Costs" - North Carolina")
![Form DMA-5201 "Application for Health Coverage & Help Paying Costs (Short Form)" - North Carolina](https://data.templateroller.com/pdf_docs_html/2049/20495/2049542/form-dma-5201-application-for-health-coverage-help-paying-costs-short-form-north-carolina.png "Form DMA-5201 "Application for Health Coverage & Help Paying Costs (Short Form)" - North Carolina")
![Instructions for Form 732A "Adult Day Services Daily Cost Computation Worksheet" - North Carolina](https://data.templateroller.com/pdf_docs_html/1863/18637/1863762/instructions-for-form-732a-adult-day-services-daily-cost-computation-worksheet-north-carolina.png "Instructions for Form 732A "Adult Day Services Daily Cost Computation Worksheet" - North Carolina")
![Form DHHS-2822A "Wic Nutrition Assessment for Pregnant Women" - North Carolina](https://data.templateroller.com/pdf_docs_html/50/503/50399/form-dhhs-2822a-wic-nutrition-assessment-pregnant-women-north-carolina.png "Form DHHS-2822A "Wic Nutrition Assessment for Pregnant Women" - North Carolina")
![DSOHF Form 001-09 "Continuing Care Plan/Discharge Summary" - North Carolina](https://data.templateroller.com/pdf_docs_html/1864/18646/1864644/dsohf-form-001-09-continuing-care-plan-discharge-summary-north-carolina.png "DSOHF Form 001-09 "Continuing Care Plan/Discharge Summary" - North Carolina")
![Form DMH1-73-00 "Regional Referral Form for Admission to a State Psychiatric Hospital or Adatc" - North Carolina](https://data.templateroller.com/pdf_docs_html/1728/17284/1728419/form-dmh-1-73-00-regional-referral-form-admission-to-a-state-psychiatric-hospital-or-adatc-north-carolina.png "Form DMH1-73-00 "Regional Referral Form for Admission to a State Psychiatric Hospital or Adatc" - North Carolina")
![Form DMH-5-82-02 "Request to Return Escapee or Conditional Releasee" - North Carolina](https://data.templateroller.com/pdf_docs_html/1882/18820/1882074/form-dmh-5-82-02-request-to-return-escapee-or-conditional-releasee-north-carolina.png "Form DMH-5-82-02 "Request to Return Escapee or Conditional Releasee" - North Carolina")
![Form DMA-7097-ia "Request and Authorization to Disclose Health Information" - North Carolina](https://data.templateroller.com/pdf_docs_html/412/4124/412479/form-dma-7097-ia-request-and-authorization-to-disclose-health-information-north-carolina.png "Form DMA-7097-ia "Request and Authorization to Disclose Health Information" - North Carolina")
![Form DMH5-73-01 "Evaluation for Admission/Continued Stay" - North Carolina](https://data.templateroller.com/pdf_docs_html/1882/18820/1882071/form-dmh-5-73-01-evaluation-admission-continued-stay-north-carolina.png "Form DMH5-73-01 "Evaluation for Admission/Continued Stay" - North Carolina")
![Form DMH5-83-01 "Notice of Return of Escape or Conditional Release" - North Carolina](https://data.templateroller.com/pdf_docs_html/1882/18820/1882072/form-dmh-5-83-01-notice-return-escape-or-conditional-release-north-carolina.png "Form DMH5-83-01 "Notice of Return of Escape or Conditional Release" - North Carolina")
![Form DMH5-79-01 "Notice of Commitment Change" - North Carolina](https://data.templateroller.com/pdf_docs_html/1882/18820/1882070/form-dmh5-79-01-notice-of-commitment-change-north-carolina.png "Form DMH5-79-01 "Notice of Commitment Change" - North Carolina")
![Form DSS8207-SSI "Ssi/ Food Stamp Application" - North Carolina](https://data.templateroller.com/pdf_docs_html/2049/20493/2049396/form-dss8207-ssi-ssi-food-stamp-application-north-carolina.png "Form DSS8207-SSI "Ssi/ Food Stamp Application" - North Carolina")
![Form DMH572-01-A "Emergency Certificate" - North Carolina](https://data.templateroller.com/pdf_docs_html/1881/18819/1881974/form-dmh-572-01-a-emergency-certificate-north-carolina.png "Form DMH572-01-A "Emergency Certificate" - North Carolina")
![Form DHHS-VR-B "Application for a Copy of a North Carolina Birth Certificate" - North Carolina](https://data.templateroller.com/pdf_docs_html/2075/20759/2075967/form-dhhs-vr-b-application-for-a-copy-of-a-north-carolina-birth-certificate-north-carolina.png "Form DHHS-VR-B "Application for a Copy of a North Carolina Birth Certificate" - North Carolina")
![Form DMH5-72-01-A "Emergency Certificate" - North Carolina](https://data.templateroller.com/pdf_docs_html/1882/18820/1882073/form-dmh-5-72-01-a-emergency-certificate-north-carolina.png "Form DMH5-72-01-A "Emergency Certificate" - North Carolina")
