ICPC-100A.1. Instructions for Completing Form ICPC-100A Interstate Compact on the Placement of Children Request

Form ICPC-100A is a form used to facilitate the interstate placement of a child. This form is used when a child is placed in a different state other than the state of their residence. It is completed by the sending state, the receiving state, and the individual responsible for the child's placement.

The form consists of three sections. The first section requires general information about the child, such as their name, date of birth, address, and racial and ethnic background. The second section requires contact information for both the sending and receiving states. The third section requires additional information about the child's placement, including the name and address of the receiving home or facility, the expected duration of the placement, and any additional information regarding the placement.

Important fields in this form include the contact information for both the sending and receiving states, as well as the name and address of the receiving home or facility. It is important to ensure that all contact information is correct and up to date, as it will be used to document the placement and facilitate communication between the sending and receiving states. Additionally, it is important to ensure that all information about the placement is accurate, as this form is legally binding and must be completed accurately in order for the placement to be valid.

An example scenario where this form would be used is if a child from New York is placed in a foster home in California. The individual responsible for the child's placement would complete the form, providing information about the child, the sending and receiving states, and the placement. Specific instructions for completing the form can be found on the Office of Children and Family Services website. The purpose of the form is to ensure that the placement is in the best interest of the child and the state, and to ensure that the rights of all parties are protected.

Related forms or alternatives to this form include ICPC-100B, which is used for the return of a child placed in another state, and ICPC-100C, which is used for the transfer of a child placed in another state. Additional documents that may need to be completed in conjunction with this form include the child's birth certificate, court documents, and any other documents that may be required by the receiving state.