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PROVISIONAL INTERSTATE PLACEMENT REQUEST
I. Sending and Receiving Information
Sending State: Washington
Oregon
Receiving State: Washington
Oregon
Sending County:
Clark
Cowling
Multnomah
Clacks
Washington
Receiving
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How to fill out provisional interstate placement request

To fill out a provisional interstate placement request, follow these steps:
01
Begin by obtaining the necessary forms from the appropriate agency or department responsible for handling interstate placements. This could be a child welfare agency or a court.
02
Fill out the personal information section, providing details such as the child's full name, date of birth, and social security number. Include the name and contact information of the child's legal guardian or custodian.
03
Provide information about the sending state, including the name of the agency or court overseeing the current placement, as well as the contact information for the responsible caseworker.
04
Indicate the desired receiving state where the child is proposed to be placed. Include the name of the agency or court in the receiving state that you believe would be appropriate for the placement.
05
Explain the reason for the interstate placement request. This could involve providing information about the child's safety, stability, or need for specialized services that can be met in the receiving state.
06
Attach any supporting documents, such as court orders, medical records, or assessments that support the need for the interstate placement.
07
Sign and date the provisional interstate placement request form. Ensure that all required signatures are obtained from relevant parties, including the legal guardian, caseworker, and any individuals involved in the decision-making process.
Who needs a provisional interstate placement request? Individuals or entities involved in the process of making an interstate placement for a child may need to submit a provisional interstate placement request. This could include child welfare agencies, courts, legal guardians, or custodians who are seeking to transfer a child's placement from one state to another. The request helps facilitate the necessary communication and collaboration between the sending and receiving states to ensure the safety and well-being of the child during the placement process.
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What is provisional interstate placement request?
A provisional interstate placement request is a formal request made by a party to a child protection case to place a child in another state temporarily.
Who is required to file provisional interstate placement request?
The party responsible for the child's welfare or the child welfare agency is typically required to file the provisional interstate placement request.
How to fill out provisional interstate placement request?
The provisional interstate placement request form can be obtained from the appropriate child welfare agency. It requires providing information about the child, the receiving state, and the reason for the placement request.
What is the purpose of provisional interstate placement request?
The purpose of a provisional interstate placement request is to ensure the temporary placement of a child in another state while the child protection case is being assessed or resolved.
What information must be reported on provisional interstate placement request?
The provisional interstate placement request typically requires reporting information such as the child's name, age, relevant legal and medical history, the proposed receiving state, and the reason for the placement request.
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