SFN 885, Statement of Caseworker 619-01-30-25

(Revised 5/1/12 ML #3329)

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A signed statement by the child’s case manager:

1. Confirming that the potential placement resource is interested in being a placement resource for the child and is willing to cooperate with the ICPC process.
2. Including the name and correct physical and mailing address of the placement resource and all available telephone numbers and other contact information for the potential placement resource.
3. Describing the number of bedrooms in the home of the placement resource and number of adults and children residing in home, including the child(ren) to be placed.
4. Confirming the potential placement resource acknowledges that he/she has sufficient financial resources or will access financial resources to feed, clothe, and care for the child, including child care, if needed.
5. That the placement resource acknowledges that criminal records and child abuse history check will be completed on any person residing in the home required to be screened under the law of the receiving state.