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LDSS4623 (3/02)OFFICE OF CHILDREN AND FAMILY SERVICESADOPTION SUBSIDY AGREEMENT COVER SHEET NOTE:This cover sheet is to be submitted with the Agreement and supporting documentation for approval. This cover
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How to fill out ldss-4623 adoption subsidy agreement

01
Gather all necessary information and documents such as the names of all individuals involved in the adoption, the child's information, and the adoptive parents' information.
02
Review the ldss-4623 adoption subsidy agreement form to understand the sections and requirements.
03
Begin by filling out the first section, which usually requires the names of the adoptive parents, contact information, and their relationship to the child.
04
Continue with the second section, providing information about the child, including their name, date of birth, and any special needs or medical conditions.
05
Proceed to the third section, which may require financial information about the adoptive parents, such as their income and expenses for the child.
06
Fill out any additional sections or questions as required by your local adoption agency or jurisdiction.
07
Review the completed ldss-4623 adoption subsidy agreement form for any errors or missing information.
08
Sign and date the form, ensuring all parties involved in the adoption also sign if necessary.
09
Make copies of the completed form for your records and submit the original to the appropriate adoption agency or department.
10
Follow up with the agency or department to ensure that your ldss-4623 adoption subsidy agreement form has been received and processed.

Who needs ldss-4623 adoption subsidy agreement?

01
Any individual or couple who is in the process of adopting a child and intends to apply for an adoption subsidy may need the ldss-4623 adoption subsidy agreement form. This form is typically required by local adoption agencies or government departments to determine eligibility and provide financial assistance for the adoption of a child with special needs.
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The ldss-4623 adoption subsidy agreement is a form used to establish an agreement for financial assistance and support services for the adoption of a child.
The adoptive parents or legal guardians are required to file the ldss-4623 adoption subsidy agreement.
The ldss-4623 adoption subsidy agreement can be filled out by providing all requested information about the adopted child, adoptive parents, and the agreed upon subsidy amount.
The purpose of the ldss-4623 adoption subsidy agreement is to ensure that financial assistance and support services are provided to the adoptive family to help meet the needs of the adopted child.
The ldss-4623 adoption subsidy agreement must include information about the adopted child, adoptive parents, subsidy amount, and any additional support services being provided.
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