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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-08 dated October 28, 2013.


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 10/31/2013

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