LDSS-4623B. Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Post Finalization Application
Form LDSS-4623B, Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Post Finalization Application, is a form used by the New York State Office of Children and Family Services for applications for post-finalization adoption subsidies and non-recurring adoption expenses. It is typically used in situations where a child has already been adopted, and the adoptive family is seeking financial support from the state.
The form requires the adoptive family to provide detailed information about the child, including their date of birth, race/ethnicity, and gender. It also requires information about the adoptive parents, including contact information. Additionally, other personal information must be provided, such as the child's Social Security number and the adoptive parents' driver's license numbers. The form also requires information about the adoption agency, including the agency's name and address.
The form also requires the adoptive family to provide information about the child's adoption-related expenses. This includes the costs associated with the adoption, such as legal fees, court costs, and travel expenses. Additionally, the adoptive family must provide information about the amount of financial support they have received from other sources, such as the federal adoption tax credit, or any other financial assistance they may have received.
The form must be completed accurately and completely, and all documentation must be included in order to be considered for the subsidy. It is important that the adoptive family provides accurate and complete information, as any inaccuracies or omissions may result in a delay in the processing of the application or even a denial of the subsidy.
An example of a situation in which this form would be used is when an adoptive family has already finalized their adoption, but is seeking financial assistance from the state to help cover the costs associated with the adoption. The form would be used to provide information about the adoption and the family's financial situation, in order to determine if the family qualifies for a subsidy or non-recurring adoption expense. The form should be filled out completely and accurately, and all necessary documentation should be included.
There are several other forms related to adoption subsidies and non-recurring adoption expenses, such as the LDSS-4546A, which is an application for pre-finalization adoption subsidies and non-recurring adoption expenses. The LDSS