Requests For Information To request information from the North Carolina Division of Social Services please refer to the following Adam Walsh Clearances To obtain child abuse and neglect clearances to approve an individual to become a foster parent or to adopt, please complete the DSS-5268-ia. Agencies entitled to this information include licensed child care providers, group home facilities, Guardian ad Litem staff and child placing agencies. This form should not be used for current Child Protective Services (CPS) investigations, law enforcement investigations or court cases. The DSS-5268 is regularly updated. Please use the most current version. Incomplete forms cannot be processed. The requesting agency information and the employee/applicant /volunteer section must by completed. The online version of this form is interactive, meaning that you can type in it and then print. Once completed, the DSS-5268-ia may be submitted via fax or by mail. Fax: (984) 285-7159, Attn: RIL OR Mail: Including a self-addressed stamped envelope: NC Division of Social Services Attn: RIL 952 Old US Hwy 70 Black Mountain, NC 28711 Or call for information at 828-232-3160 Child Protective Services Requests If you are requesting information as part of an open case involving CPS, please submit the DSS-5277-ia. Requests must be submitted on your agency letterhead. A fax cover page on letterhead is acceptable. North Carolina has a state-supervised, county-administered social services system. If there is a history of abuse or neglect, a fax will be sent providing information on which county to contact along with the contact information for that county. It is important to tell county staff that all records pertaining to the child/children are needed and not solely the investigation/assessment. Please type or write clearly to ensure accurate information is provided. You may submit this request by fax to 984-285-7159 or by mail to: Division of Social Services Attn: Central Registry 820 S. Boylan Ave MSC 2408 Raleigh, NC 27699-2408 The requested information will be either faxed back to you or mailed back if a self-addressed, stamped envelope was included. History related to abuse and or neglect cannot be released to any person/agency for the purpose of making a report screening decision. Should you have additional questions please contact the Child Welfare Policy Section at 919-527-6340. Assistance Verifications for Out-of-State Agencies If you are requesting out-of-state verification of assistance, please do not send confidential information via email. You may obtain verification by calling 866-719-0141 or faxing a request to 252-789-5395. The request must be on agency letterhead and include: Name Date of birth Social Security Number Programs included in request Your agency's contact information Child Protective Services Alerts To request a CPS Alert to be posted in North Carolina please submit your information via email to Dss.email@example.com or by fax to 984-285-7159. You may also mail your request to: Division of Social Services Attn: CPS Alerts 820 S. Boylan Ave. MSC 2404 Raleigh, NC 27699-2404 Non-Identifying Adoption Information To request non-identifying information regarding a North Carolina adoption, contact the adoption agency that arranged for the adoption. If the adoption agency is unknown, a request may be submitted to DHHS’ Division of Social Services for the name of the adoption agency, at which time the adoption agency will be contacted for the requested information. Non-identifying information will only be provided to adoption agencies not the public. Please note North Carolina does not have information available for years prior to 1936. The written request should be submitted to: Division of Social Services Attn: Adoption Review and Indexing Team 820 S. Boylan Ave. MSC 2425 Raleigh, NC 27699-2425 The request should include: Birth parents' names, if known Child's birth name, if known Child's adoptive name, if known Child's date of birth Adoptive parents' names, if known County finalized, if known Daytime telephone number Picture ID (copy) Call 919-527-6370 for questions regarding this process.