ࡱ>  @ }bjbj5*5* *W@W@,,,8V,,<:G,B.333335$ 7CD$gFgFgFgFgFgF$fHRJFi73377F33Fc<c<c<733CDc<7CDc<c<c<36. i٠,7c</= G0:Gc<:K7:Kc<:Kc<77c<77777FFz$M<z$ADOPTION CHECKLISTMichigan Department of Human ServicesChild s Name FORMTEXT      Birth Date: FORMTEXT      Date Referred for Adoption FORMTEXT      Commitment Date FORMTEXT      Documentation Received:Birth Certificate  FORMCHECKBOX Termination/Commitment Order  FORMCHECKBOX Initial/Updated Service Plans  FORMCHECKBOX Social Security Card  FORMCHECKBOX Funding Source FORMTEXT      DOC rate FORMTEXT      Current Medical (DHS-1663)  FORMCHECKBOX Dental (DHS-1664)  FORMCHECKBOX Native American  FORMCHECKBOX Psychological Reports  FORMCHECKBOX Currently in Therapy? Yes  FORMCHECKBOX  No  FORMCHECKBOX Therapist FORMTEXT      Foster Parent Notification (DHS 4809)Date Sent FORMTEXT      Date Response received FORMTEXT      Interested: Yes  FORMCHECKBOX  No  FORMCHECKBOX Relatives identified in case or expressing an interest in adoption:Name/Relationship FORMTEXT      Status (Withdrawn/Approved/Denied) FORMTEXT      Competing Parties: Yes  FORMCHECKBOX  No  FORMCHECKBOX If yes, name FORMTEXT      relationship FORMTEXT      name FORMTEXT      relationship FORMTEXT      Child Adoption AssessmentMeet child/caregiver  FORMCHECKBOX Written Assessment (DHS-1927)  FORMCHECKBOX Adoptive Family:Identified FORMTEXT       FORMCHECKBOX MARE Hold Form  FORMCHECKBOX Recruitment Needed  FORMCHECKBOX Child Registration Form (DHS-4748)  FORMCHECKBOX Photo  FORMCHECKBOX Adoptive Family Assessment:Orientation  FORMCHECKBOX Publications given (DHS-255, 823, and 538)  FORMCHECKBOX Application  FORMCHECKBOX Record Clearances  FORMCHECKBOX Medicals  FORMCHECKBOX Written Assessment (DHS-1928 or DHS-1926)  FORMCHECKBOX Family received copy of AFA  FORMCHECKBOX Shared history with family  FORMCHECKBOX Verification signed by adopting parents (DHS-4818)  FORMCHECKBOX Subsidy Application:Support Subsidy/NRE Intent Statement (DHS-4081)  FORMCHECKBOX Subsidy Application (DHS-1341)  FORMCHECKBOX Medical Subsidy (DHS-1341M)  FORMCHECKBOX Verify Foster Payment  FORMCHECKBOX Rate FORMTEXT      DOC (DHS-470 or DHS-1945)  FORMCHECKBOX Rate FORMTEXT      Agreement received  FORMCHECKBOX Signed by Parent  FORMCHECKBOX Signed by Subsidy Manager  FORMCHECKBOX Agreement given to Parent  FORMCHECKBOX MCI Consent(rvxz    < > @ T V X b d f ֹҮֹҤ族意族yt h??5jhUjZhUjhsUh(, h035h03h03h035>*j|hN$Ujh UmHnHujh??Uh??jh??Uh??h??5hs h$.hs h$.h$.h$.hS4-&(tvx+ssg+s $$Ifa$gds<kdX$$Ifl4,,4 lalf4 $Ifgd$.<kd$$Ifl4,,4 lalf4 $Ifgd$.z}}xzJ3d8$If^gd??d8$IfgdJd8$IfgdJ<kd$$Ifl4,,4 lalf4    ySiy3U d8$If^gd??d8$IfgdJd8$IfgdJukd$$Ifl4\","  4 lalf4  > f yLiyid8$IfgdJd8$IfgdJukd$$Ifl4\+,+  4 lalf4 yLi@ yid8$IfgdJd8$IfgdJukdB$$Ifl4\$ <,$  4 lalf4 4 y+<yyy<kd$$Ifl4,,4 lalf4d8$IfgdJukd$$Ifl4\$ <,$  4 lalf4    . 0 2 4 l n p    : < > B ` b v x ʺնʦնʖնʆն}qiW#jh|hoCJUaJh|CJaJjh|CJUaJh|h5BTaJjth h CJUjh h CJUjh h CJUh(,jh h CJUhN$hN$0J"CJjhN$hN$0J"CJUhN$ha"|hN$CJOJQJhN$hN$5>*" @ B `  d ypp $Ifgd5BTukd$$Ifl4\u[,  ,4 lalf4d8$IfgdJ x z     > @ B ^ ` b d ų֨x֨r`Urh|h5BT@aJ#j h h CJUaJ h|aJ#jp h h CJUaJhhhq\*0J"CJaJ!jhhhq\*0J"CJUaJh|h5BT@aJ#jh|hoCJUaJh|CJaJh|h5BTaJhhh5BTCJaJ"jh CJUaJmHnHujh|CJUaJ    B D F b żtd[LAhoh|0J"CJjhoh|0J"CJUhoh|0J"j h h CJUh|h|0J"CJjh|h|0J"CJUh|hhh|5CJaJh|h|@aJh|h|@aJh|CJaJh|h|aJhhhh5CJaJhhh5BTCJaJ!jhhhq\*0J"CJUaJ#jX h h CJUaJ P@7n@7n@Z  $Ifgd5BTd8$IfgdJkd $$Ifl4֞ %,FF2 }4 lalf4 @kd $$Ifl4֞ %,FF2 4 lalf4d8$IfgdJb d f r t (*,@BVXZdfܹܘyumi^mmumijVh/=UhcojhcoUh# hJhJhJ hJ5h03hJ5>* ho5hojh UmHnHuj&hqaUhV jhV Uj h h CJUhoh|0J"CJh|jhoh|0J"CJUj< h h CJU m]]i  1d8$IfgdJukd$$Ifl4\ ,A 4 lalf4 $Ifgd|$d8$Ifa$gd| *,@hy<y3 $Ifgd#<kd$$Ifl4,,4 lalf4d8$IfgdJukdJ$$Ifl4\ ,A 4 lalf4h02468:<] 11 kd*$$Ifl4rj, p 4 lalf4 $Ifgd#d8$IfgdJ  *,.02<> "\^rtvڛڛ}rށ}j_jjjhW=Ujhi' Uj,h Uh jh Uhi' hJh03hJ5>* h#5jh h CJUj>h h CJUhoh#0J"CJjhoh#0J"CJUh#jh UmHnHujhcoUjh/=U%<>vf+)<kd$$Ifl4,,4 lalf4d8$IfgdJkd$$Ifl4rj, p 4 lalf4\} $Ifgdi' d8$IfgdJOkd$$Ifl40,%4 lalf4 $Ifgd d8$Ifgd  Hb $Ifgdi' d8$IfgdJOkdz$$Ifl40{ ,{  4 lalf4 "68:DFbdxz|཮}r}d}}Y}d}}jPhW=Ujh UmHnHujhW=Ujhi' Uhi' hi' hi' 5>*jdh h CJUhcohi' 0J"CJjhcohi' 0J"CJUhi' 0J"CJjh h CJUhi' hi' 0J"CJjhi' hi' 0J"CJU hi' hi' h03hi' 5>*vfb]1f]1 $Ifgdi' d8$IfgdJkd$$Ifl4r : $, w4 lalf4 y f]y] $IfgdW=$d8$Ifa$gdi' d8$IfgdW=ukd$$Ifl4 \: $,:w4 lalf4  JLNxz "8:NPR\^`ڥڥzvnvcnnvjhUjhUhjh h CJUj,h h CJUhcohi' 0J"CJjhcohi' 0J"CJUhJhJhJ5h03hJ5>* hi' 5jhi' Uhi' jh UmHnHujhi' UjThi' U& vfb]1f]1 $IfgdW=d8$IfgdW=kd@$$Ifl4r : $, w4 lalf4LNy<yy<kd$$Ifl4,,4 lalf4d8$IfgdJukd$$Ifl4\: $,:w4 lalf4 "8`=U+bY $Ifgd<kd$$Ifl4,,4 lalf4d8$IfgdJOkd$$Ifl40,q$4 lalf4 `b~+,:;<CDRSTUVZ[wxъх{wgchDj"h h CJUhJh03hJ5>* h5 h5CJj8 h h CJUjh h CJUjLh h CJUjh h CJUhj`h h CJUhcoh0J"CJjhcoh0J"CJU&UVWXYZP@71@4 @ $Ifgdd8$IfgdJkd $$Ifl4֞B_%,PC (4 lalf4Z[wxy+<yyy<kd0"$$Ifl4,,4 lalf4d8$IfgdJukd!$$Ifl4\(, !s4 lalf4-./01[\jkl޾ޮޞއwgj~&h h CJUj&h h CJUj%h h CJU h5CJjf$h h CJUj#h h CJUjz#h h CJUj#h h CJUhcoh0J"CJjhcoh0J"CJUhhD'01mfkd$$$Ifl4rF#,F:K4 lalf4d8$IfgdJ$O+<kd'$$Ifl4,,4 lalf4d8$IfgdJbkd&$$Ifl4FY$,Y c    4 lalf4   $%UVdefgh¾xm]xxmMxxmj)h h CJUj)h h CJUhcoh% 0J"CJjhcoh% 0J"CJUh% hV 5j(h h CJUhcohV 0J"CJjhcohV 0J"CJUhV hJh03hJ5>*j~'h h CJUhcoh0J"CJjhcoh0J"CJUh h5$%ghu<kd&)$$Ifl4,,4 lalf4d8$IfgdJ<kdR($$Ifl4,,4 lalf4fpqh $Ifgd% d8$IfgdJOkdp*$$Ifl40 ,  4 lalf4  BD`bdpr2ԷܬࡑІԷ܀ܬyiehJj.h h CJU h% 5CJ h% CJjF,hqaUj+h h CJUhcoh% 0J"CJh% h% @aJjh UmHnHujZ+hqaUhV jhV Uh% jhcoh% 0J"CJUj*h h CJU%cSSqJ1S; ShJ 1 $Ifgd% d8$IfgdJkd,$$Ifl4ֈ !,I @f4 lalf48cSSSSd8$IfgdJkd-$$Ifl4ֈ !,I @f4 lalf42468lnppp:p*j/h h CJUjl/h h CJUhcoh% 0J"CJh% hJjhcoh% 0J"CJUj.h h CJU pp^pppy<yyy<kd0$$Ifl4,,4 lalf4d8$IfgdJukdX0$$Ifl4\(],(5 4 lalf4 Request:Birth Certificate  FORMCHECKBOX PC Order  FORMCHECKBOX CAA  FORMCHECKBOX AFA  FORMCHECKBOX DHS-3217  FORMCHECKBOX PCA-309  FORMCHECKBOX Not recommending Letter (if applies)  FORMCHECKBOX Expedited Yes  FORMCHECKBOX  No  FORMCHECKBOX Date Packet Sent to MCI Office FORMTEXT      Date Consent received FORMTEXT      Court Packet:Petition (PCA-301)  FORMCHECKBOX Order Placing (PCA-320)  FORMCHECKBOX Adoption (PCA-321)  FORMCHECKBOX Statement of Services (PCA-345)  FORMCHECKBOX Petitioner s Acct. (PCA-347)  FORMCHECKBOX Fees (PCA-341)  FORMCHECKBOX OTR/PC  FORMCHECKBOX Birth Certificate  FORMCHECKBOX Consent (PCA-309)  FORMCHECKBOX CAA  FORMCHECKBOX AFA  FORMCHECKBOX Medicals  FORMCHECKBOX New Birth (DCH-0854)  FORMCHECKBOX Other FORMTEXT      Subsidy Payment Request (DHS-1344)  FORMCHECKBOX with Placement Order  FORMCHECKBOX Nonrecurring Expense Claim for Reimbursement  FORMCHECKBOX Quarterly reports  FORMCHECKBOX Final Order of Adoption (PCA-321)  FORMCHECKBOX Closing Summary (DHS-222)  FORMCHECKBOX Closing Letter  FORMCHECKBOX AFCARS (DGS-3154)  FORMCHECKBOX Records to closed files  FORMCHECKBOX Department of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, political beliefs or disability. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known to a DHS office in your area. 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