County Self Assessment Survey
The North Carolina Division of Social Services Subrecipient Monitoring Plan requires every local DSS to complete the “Subrecipient Self-Assessment of Internal Controls and Risks”. This annual requirement may be waived up to 3 times provided you meet all of the following conditions:
1) There were no findings or questioned costs cited in the single audit for previous SFY and;
2) Agency Director and fiscal officer have three or more years experience in that position in that agency as of June 30 of previous SFY, and;
3) There were no weaknesses reported on your previous “Subrecipient of Self-Assessment of Internal Controls and Risks” survey without mitigating controls in place.
If any of the above conditions exist the county is required to submit a full self assessment until they meet all of the above requirements.
To download
the Self Assessment Survey or Certification Form click on the link
below. You will then have the option to open the file or save it
to a disk. Select "save to a disk" and save it either
to a disk or to your hard drive.
Self-Assessment
Survey (revised
09/01/12)
Certification
of Self- Assessment Form (revised
09/01/12)
Monitor Assignment Map
Once
the Self-Assessment Survey or Certification of Self-Assessment has been completed submit it electronically
by attaching the completed document to an email to Sandra Weathers or to your assigned Fiscal Compliance Monitor (FCM).
NOTE: Signatures can be affixed electronically and will be accepted. If you cannot submit an electronic signature, the last page must be printed, signed and returned to Sandra Weathers or to your assigned Fiscal Compliance Monitor (FCM)..
For more information please view the Dear County Director Letter BG-04 dated November 8, 2012.
County Self Assessment Review Summaries
County Self Assessment Review Detailed Reports
Certification of Self Assessments
For copy of most recent certification form contact
or by email at Sandra.Weathers@dhhs.nc.gov
We strive to keep this information as accurate as possible. If information on this page needs to be updated, please Email us.
Page Modified 11/15/2012
