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New sending case

Request a placement in another state

Step 2 of 5

Children

Find an existing child first

Search by name or child ID

Date of birth

SSN

Sex

Race

Hispanic origin

Child type

Child 1 – Maya Thompson

First name *

Middle name

Last name *

Date of birth *

Sex

Gender

SSN

Current legal status *

ICWA

Title IV-E

Race (select all that apply)

American Indian / AlaskanAsianBlack / African AmericanDeclinedNative Hawaiian / Pacific IslanderUnable To DetermineWhite

Hispanic origin

YesNoUnable to Determine

Alias first name

Alias last name

Parent 1

First name

Last name

Sex

Date of birth

Parent 2

First name

Last name

Sex

Date of birth

Jurisdiction state

Jurisdiction county

State child ID

Tribe Name

School District

Special Needs

MedicalBehavioralEducational

Fields your state added to the child record.

Case so far

Route: Nevada → Pennsylvania
Regulation: REG 1 - Intact Family Relocation
Type of care: Relative (Not Parent)
Children: Maya Thompson
Placement resource: Not yet
Form 100A: Not yet