We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • Independent Agency Forms
  • Independent Agency SSA Forms
  • Icpc 100a 2019

Get Icpc 100a 2019-2025

One form per child Please type ICPC 100A REV. 8/2001 INTERSTATE COMPACT ON THE PLACEMENT OF CHILDREN REQUEST FROM TO Notice is given of intent to place - Name of Child Social Security Number Sex Date of Birth SECTION I - IDENTIFYING DATA Ethnicity Hispanic Origin ICWA Eligible Yes No Unable to determine/unknown Race American Indian or Alaskan Native Asian Title IV-E determination Pending Name of Mother Native Hawaiian/ Other Pacific Islander Black or African American White Name of Agency or Person Responsible for Planning for Child Phone Address SECTION II - PLACEMENT INFORMATION Name of Person s or Facility Child is to be placed with Type of Care Requested Foster Family Home Group Home Care Child Caring Institution Residential Treatment Center Institutional Care-Article VI Adjudicated Delinquent Soc Sec optional Parent Relative Not Parent Relationship Other ADOPTION IV-E Subsidy To Be Finalized In Sending State Receiving State Current Legal Status of Child Sending Agency Custody/Guard....

This website is not affiliated with any governmental entity

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the ICPC 100A online

The ICPC 100A form is essential for the placement of children across state lines under the Interstate Compact on the Placement of Children. This guide walks you through the process of completing the form online, ensuring you understand each section and field.

Follow the steps to successfully complete the ICPC 100A form.

  1. Press the ‘Get Form’ button to access the ICPC 100A form and open it for editing.
  2. Enter the child's name and Social Security number in the designated fields. Indicate if the child is eligible under the Indian Child Welfare Act (ICWA) by selecting 'Yes' or 'No'.
  3. Provide the child’s sex and gender in the appropriate fields. Fill out the ethnicity and race sections, choosing from the given options.
  4. Complete SECTION I by providing identifying data about the parents and agencies responsible for planning and financial responsibility for the child. Include names, contact information, and addresses.
  5. Move to SECTION II and indicate the type of care requested for the child, selecting from the listed options. Fill in the current legal status of the child and provide details about custody/guardianship.
  6. Specify the name and contact details of the person or facility where the child is to be placed, as well as any foster or adoptive resources.
  7. In SECTION III, indicate the services requested, including home studies and supervisory services required. Note any initial reports if applicable.
  8. Signature fields must be completed by the sending agency or responsible person, along with any necessary enclosures relative to the placement.
  9. SECTION IV will require you to select the action from the receiving state regarding the placement and obtain the signature of the receiving state's compact administrator.
  10. Once completed, review all entries for accuracy. Save the changes, then proceed to download, print, or share the form as necessary.

Complete your ICPC 100A form online today for efficient processing.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

ICPC-100A - Office of Children and Family Services
SECTION IV – ACTION BY RECEIVING STATE PURSUANT TO ARTICLE III (d) OF ICPC. ☐...
Learn more
sending state priority home study request...
Form ICPC-100A is the sending agency's formal written notice to the receiving state of its...
Learn more
Interstate Compact sur le placement des enfants...
L' Interstate Compact sur le placement des enfants ( ICPC ) est un contrat ... Le ICPC...
Learn more

Related links form

CookING VERBS Vocabulary Matching Worksheet After Action Reviews And Simulation Exercises Under The IHR MEF Destruction Letter Afrasa Mulatu - Addis Ababa University Institutional Repository - Etd Aau Edu

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get ICPC 100A
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232