Mississippi Administrative Code
Title 18 - HUMAN SERVICES
Part 6 - Division of Family and Children's Services
Chapter 1 - DFCS Policy Manual
Section 18-6-1-H - Interstate Compact on the Placement of Children
Section 18-6-1-H-VII - APPENDICES
Appendix 18-6-1-H-VII-H - Adoption Request Checklist

Universal Citation: MS Code of Rules 18-6-1-H-VII-H
Current through September 24, 2024

ICPC ADOPTION REQUEST CHECKLIST

(All Requests Must be Submitted in TRIPLICATE)

Adoptive Home Study and Conversion Requests

[] ICPC-100A form requesting adoptive home study

[] TPR and all other court orders / legal documents on child(ren)

[] Complete social / medical / psychological / educational history on child(ren)

[] IV-E documentation on child(ren)

[] Financial / Medical Plan

[] Certification of first time adoptive parents pre-adoptive training requirements

[] Cover letter

Newborn Adoptive Placements Requests (MS does not accept UNBORN baby requests)

[] ICPC-100A form requesting adoptive placement

[] TPR Order (needed if finalizing in MS) or Relinquishment (approved as a "legal risk" placement)

[] Family History / Medical / Genetic Questionnaire signed by birthparents or explanation if both have not completed this

[] Family History Pregnancy and Delivery Information Questionnaire

[] Hospital records: discharge summary, medical records

[] Social history of birth mother and birth father

[] Birth parents counseling summary

[] Adoptive home study

[] Private adoptions only: statement of expenses paid to birth parent(s) by adoptive parents

[] Certification of first time adoptive parents pre-adoptive training requirements

[] Other: Any other documentation to meet the requirements of another state

[] Overnight courier envelope for the Receiving State with postage to contain 2 copies of request

[] Send this information via overnight courier ONLY to:

Mississippi ICPC

Department of Human Services/ Division of Family & Children's Services

750 North State Street

Jackson, MS 39202

Older Children Adoptive Placement Requests

[] ICPC-100A form requesting adoptive placement

[] TPR Order or Relinquishment (if pending, may approve as "legal risk placement")

[] Social history of birth mother and birth father

[] Current adoptive home study

[] Current foster home license

[] Documentation of 3 pre-adoptive placement visits (for special needs children only)

[] Certification of first time adoptive parents pre-adoptive training requirements

[] Other: Any other documentation to meet the requirements of another state

Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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