LDSS-4623D. Adoption Subsidy and Non-Recurring Adoption Expenses Agreement - Non-Recurring Adoption Expenses Reimbursement Form
Form LDSS-4623D, the Adoption Subsidy and Non-Recurring Adoption Expenses Agreement, is a form used to request reimbursement of non-recurring adoption expenses incurred in connection with an adoption of a child with special needs. This form is required to be completed by an approved adoptive family, in order to receive reimbursement of the non-recurring adoption expenses.