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State of Kansas Department for Children and Families Prevention and Protection Services Appendix 9 H July 2014 CPC REFERRAL CHECK LIST Please ensure you are using the most current version of the PPS
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How to fill out ICPC referral checklist ICPC:

01
Carefully review the ICPC referral checklist ICPC to understand all the required information and documentation.
02
Ensure that all relevant information is accurately filled in the referral checklist, such as the names and contact information of the sending and receiving agencies, as well as the child's information.
03
Provide detailed background information about the child, including their current living situation, any known health or behavioral issues, and any special needs they may have.
04
Include information about the child's legal status, such as their placement history and any pending or ongoing legal proceedings.
05
Specify the desired placement preferences for the child, such as the type of family or home environment that would be most suitable for them.
06
Include any additional supporting documentation or reports that may be relevant to the child's case, such as medical records, psychological evaluations, or educational assessments.

Who needs ICPC referral checklist ICPC:

01
Social workers or caseworkers who are involved in the process of placing a child in a different state or country.
02
Sending agencies who are responsible for preparing and coordinating the ICPC referral process.
03
Receiving agencies who will be responsible for evaluating the child's suitability for placement and making the necessary arrangements for their care.
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The ICPC referral checklist ICPC is a list of requirements and information needed when requesting for the placement of a child in another state through the Interstate Compact on the Placement of Children (ICPC).
Any child welfare agency or individual seeking to place a child in another state is required to file the ICPC referral checklist ICPC.
The ICPC referral checklist ICPC must be filled out accurately and completely with all required information, such as the child's personal details, reason for placement, background information, and proposed placement location.
The purpose of the ICPC referral checklist ICPC is to ensure the safety and well-being of children placed across state lines by providing necessary information and documentation for proper evaluations and approvals under the ICPC.
The ICPC referral checklist ICPC must include information such as the child's name, age, gender, medical history, educational background, contact information for involved parties, reason for placement, proposed placement location, and any other relevant details.
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