Children, Adults and Families Adoption Program




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Children, Adults and Families

Adoption Program


Legal Assistance Checklist







Child’s name:

     


Worker name :

     


Branch name:

     











A. The following documents are required for mailing to the Adoption Services Unit to obtain relinquishments.

This form (CF 439) signed by the supervisor must accompany this packet.

 CF 439 Legal Assistance Checklist

 CF 422 Adoption Planning Referral (NCR form, do not separate the copies)

 CF 418 Fathers(s) Questionnaire

 CF 423 Adoptive Placement Needs

 Original Birth Certificate

 Original CF 1270 Verification of ICWA Eligibility or memo explaining efforts to obtain form.

 Original ICWA Correspondence or green postal card with copy of letter sent to tribe

The completed CF 421, Adoption Child Summary, is due to the Adoption Services Unit within 30 days after the parent signs a relinquishment.



B. The following documents are required for mailing to the Adoption Services Unit to process a Legal Assistance Referral (alone or with a relinquishment request). This form (CF 439) signed by the supervisor must accompany this packet:

 CF 439 Legal Assistance Checklist

 CF 422 Adoption Planning Referral (NCR form, do not separate copies)

 CF 418 Father(s) Questionnaire

 CF 423 Adoptive Placement Needs

 Original Birth Certificate

 Original CF 1270 Verification of ICWA Eligibility or memo explaining efforts to obtain form.

 Original ICWA Correspondence or green postal card with copy of letter sent

The AAG/DDA will file the termination of parental rights petition only after receiving authorization from the legal assistance specialist. The LAS packet described above is the means through which the authorization is given. The completed CF 421, Adoption Child Summary, is due to the Permanency and Adoption Unit within 30 days after submitting Legal Assistance Referral.

C. Simultaneous to “B” above, the branch will submit the following documents, which comprise the Legal Assistance Referral, directly to the AAG/DDA.

 CF 423 Adoptive Placement Needs

 CF 424 Legal Assistance Referral

 Copy of Birth Certificate



 Copy of Case Record

My signature as supervisor indicates I have reviewed the above described packets and determine them to be complete.













(Signature of supervisor) (Date)

Distribution: - Central Office, Caseworker, Supervisor CF 0439 (05/11)




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