Get the free ICPC 100A - California Department of Social Services - dss cahwnet

SIGNATURE SENDING AGENCY OR PERSON. AMERICAN ... Complete five copies of this form. Sending Agency .... I-127-83, dated. November 22, 1983.) ...

How to fill out icpc 100a - california

How to fill out ICPC 100A - California:

1. Obtain the ICPC 100A form from the appropriate source, such as the California Department of Social Services website or your social worker.
2. Begin by filling out the top section of the form, which includes details about the sending agency, the child's name, and the purpose of the request.
3. Provide accurate information in the "Child Information" section, including the child's name, date of birth, gender, and social security number.
4. Indicate whether the child is a U.S. citizen or a non-U.S. citizen, and provide any additional details required in this section.
5. Fill out the "Placement Information" section, which includes details about the proposed placement for the child. This includes the type of placement (foster care, relative, or other), the current living arrangement of the child, and any known special needs or medical conditions of the child.
6. Provide information about the prospective caregiver in the "Prospective Caregiver" section. This includes their name, address, and contact information. If the caregiver is a relative, specify the relationship to the child.
7. In the "Services Information" section, describe the services that will be provided to the child, both prior to and after the placement. This may include medical, educational, or therapeutic services.
8. Ensure that all required signatures are obtained, including those of the child's parent or legal guardian, the sending agency representative, and the receiving agency representative.

Who needs ICPC 100A - California:

1. Social workers and child welfare agencies who are involved in the interstate placement of children from California to another state.
2. Parents or legal guardians of children who are being placed in another state.
3. Prospective caregivers in another state who are seeking to provide care for a child from California through the Interstate Compact on the Placement of Children (ICPC) process.

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