X hits on this document

255 views

0 shares

0 downloads

0 comments

48 / 81

Appendix B

SAMPLE ICPC REQUEST LETTER

STATE OF TENNESSEE

DEPARTMENT OF CHILDREN’S SERVICES

American County

P.O. box 444

Scenic, Tennessee 30000

615-555-1111

(Date)

TN DCS ICPC Office Attn:  (TN ICPC DCA/Alternate)

436 6th Avenue North

8th Floor Cordell Hull Building

Nashville, Tennessee 37243-1290

RE:  Children:  Joel Smithson (DOB and TFACTS Personal ID #) *

                        Randy Smithson (DOB and TFACTS Personal ID #)*

                        Georgianna Brown (DOB and TFACTS Personal ID #)*

        Parents:   Daniel and Barbara Smithson (TFACT Case ID #) *

        Placement Resource: John and Beverly Rice   (Maternal aunt & uncle)   

                                           250 Main Street

                                Dayton, OH  40000

                                           Telephone:  123-123-1234                          

(This paragraph is an introduction statement) EXAMPLE:  American County TN DCS is requesting an ICPC Regulation #2 parent or relative or kin or foster or adoptive study or ICPC Regulation #7 Expedited parent or relative study on John and Beverly Rice, 250 Main Street, Dayton OH 40000 who are the maternal aunt and uncle of the above named children.   

(This paragraph is used to identify the “sending agent”, legal status of the child or children involved in the ICPC, brief statement as to how and when child or children came into care, current placement date of current placement, whether the child/children had previously been placed with placement resource in sending state etc.)  EXAMPLE:  

American County TN DCS obtained temporary legal custody of the children October 25, 2011 after a neighbor reported that they had been left alone over an entire weekend and their parents could not be located for planning.  Further investigation indicated that Mr. Smithson had abandoned his family several months prior to this incidence and Ms. Smithson, who is an alcoholic, had gone off on a weekend drunk.  The Smithson’s are still legally married.  After being located, Ms. Smithson identified her sister and brother-in-law in Dayton, Ohio, John and Beverly Rice might be willing to keep the children until she could receive alcoholism treatment and make a stable home for the children.  In addition, Ms. Smithson identified a member of her church family as a possible in-state placement resource which will be pursued concurrent with the ICPC.

The Interstate Compact on the Placement of Children Procedures Manual

Revised: January, 2012                                                                                                                           Page 45

Document info
Document views255
Page views255
Page last viewedSun Dec 11 06:56:04 UTC 2016
Pages81
Paragraphs1662
Words35954

Comments