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 4 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 two or more years experience in that position 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 07/01/11)
Certification of Self- Assessment Form (revised 07/01/11)

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 your assigned Local Business Liaison (LBL).

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 your LBL.

For more information please view the Dear County Director Letter BG-05 dated July 1, 2011.

County Self Assessment Review Summaries

County Self Assessment Review Detailed Reports

County Alamance Alexander Alleghany Anson Ashe Avery Beaufort Bertie Bladen Brunswick Buncombe Burke Cabarrus Caldwell Camden Carteret Caswell Catawba Chatham Cherokee Chowan Clay Cleveland Columbus Craven Cumberland Currituck Dare Davidson Davie Duplin Durham Edgecombe Forsyth Franklin Gates Gaston Graham Granville Greene Guilford Halifax Harnett Haywood Henderson Hertford Hoke Hyde Iredell Jackson Johnston Jones Lee Lenoir Lincoln Macon Madison Martin McDowell Mecklenburg Mitchell Montgomery Moore Nash New Hanover Northampton Onslow Orange Pamlico Pasquotank Pender Perquimans Person Pitt Polk Randolph Richmond Robeson Rockingham Rowan Rutherford Sampson Scotland Stanly Stokes Surry Swain Transylvania Tyrrell Union Vance Wake Warren Washington Watauga Wayne Wilkes Wilson Yadkin Yancey

Certification of Self Assessments

County Alamance Alexander Alleghany Anson Ashe Avery Beaufort Bertie Bladen Brunswick Buncombe Burke Cabarrus Caldwell Camden Carteret Caswell Catawba Chatham Cherokee Chowan Clay Cleveland Columbus Craven Cumberland Currituck Dare Davidson Davie Duplin Durham Edgecombe Forsyth Franklin Gates Gaston Graham Granville Greene Guilford Halifax Harnett Haywood Henderson Hertford Hoke Hyde Iredell Jackson Johnston Jones Lee Lenoir Lincoln Macon Madison Martin McDowell Mecklenburg Mitchell Montgomery Moore Nash New Hanover Northampton Onslow Orange Pamlico Pasquotank Pender Perquimans Person Pitt Polk Randolph Richmond Robeson Rockingham Rowan Rutherford Sampson Scotland Stanly Stokes Surry Swain Transylvania Tyrrell Union Vance Wake Warren Washington Watauga Wayne Wilkes Wilson Yadkin Yancey

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 01/06/2012