LDSS-4623C-1. Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Technical Amendment

Form LDSS-4623C-1 Adoption Subsidy and Non-Recurring Adoption Expenses Agreement is a form used for adoption subsidies and non-recurring adoption expenses. This form is prepared by the New York State Office of Children and Family Services (OCFS) and is used to document the agreement between the adoptive family and the agency or department responsible for the adoption. This document outlines the expectations of the adoptive family as well as the agency and department responsible for the adoption.

The form consists of several sections, including a section for the adoptive family, a section for the adoptive agency, and a section for the county or local office. The adoptive family section includes information on the adoptive family, such as the names of the adoptive parents, the child's name, the child's date of birth, and the contact information for the adoptive family. The agency and county/local office sections include information on the agency and county/local office, such as the agency's name, the county or local office's name, and the contact information for the agency and county/local office.

Important fields in this form include the names of the adoptive parents and the child, the child's date of birth, the contact information for the adoptive family, the agency's name, the county or local office's name, and the contact information for the agency and county/local office. It is important to accurately complete the form to ensure that the adoption subsidy and non-recurring adoption expenses are properly documented and accurately paid.

This form would be used in scenarios where an adoptive family is receiving an adoption subsidy or non-recurring adoption expenses. The purpose of the form is to document the agreement between the adoptive family and the agency or department responsible for the adoption. This form helps to ensure that the adoptive family receives the financial assistance they need to cover the costs associated with the adoption, and it also helps to ensure that the agency or department responsible for the adoption is providing the appropriate support.

Specific instructions for filling out the form include providing accurate and up-to-date information about the adoptive family, the agency, the county or local office, and any non-recurring adoption expenses. In addition, it is important to review the form carefully before signing and submitting. Related forms that may be used in similar situations include the Ad