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NJ DCF Logo with reverse copy

 

New Jersey Department of Children and Families Policy Manual

 

Manual:

CP&P

Child Protection and Permanency

Effective Date:

Volume:

X

Forms

Chapter:

A

Forms

5-10-2010

Subchapter:

1

Forms

Issuance:

14.183

CP&P Form 14-183, Determination of Eligibility for Subsidy

 

Click here to view, complete, and print the CP&P Form 14-183, Determination of Eligibility for Subsidy.

 

WHEN TO USE IT

This form is used to approve or disapprove the request for an adoption subsidy.

 

HOW TO USE IT

·         The Worker prepares the CP&P Form 14-183 using the template in the on-line Forms Manual.

·         Submit the form for approval to the Office of Adoption Operations in the subsidy request packet.  See CP&P Form 14-220, Request for Adoption Subsidy Approval Memo Checklist, for policy, procedures and documentation required for the adoption subsidy request packet.

·         Upon approval, file the form in the child's case record.  After the adoption of the child is finalized, file the form in the family's adoption subsidy folder.  Return a copy of the form to the adoptive parents with the CP&P Forms 14-182, Application for Subsidized Adoption Payments, and 14-184, Initial Agreement Between the New Jersey Division of Child Protection and Permanency and Adoption Parents Regarding Subsidy Payments. 

Note:  Make sure each adoptive parent signs the CP&P Form 14-184 after the Office of Adoption Operations approves the initial agreement.

 

TIPS FOR COMPLETING THE FORM

·         Complete all text fields and check boxes in the on-line template.

·         For the monthly subsidy rate, fill in the amount requested on the CP&P Form 14-182, Application for Subsidized Adoption Payments.

·         Do not exceed the maximum legal fee allowed, $500 per child, in the "total legal fees" field.

·         Note that the text fields for "diagnosis," "treatment plan," and "comments" will expand as information is entered.

DISTRIBUTION

 

Original

-

Office of Adoption Operations for approval

 

-

After approval, file in the child's case record

 

-

After the adoption is finalized, file in the family's adoption subsidy folder

Copy

-

After Office of Adoption Operations approval is received, forward a copy to the adoptive parent