PAYMENT DUE WITH CONTRACT FOR SERVICEAdoption Services Fee Agreement • November 3rd, 2021
Contract Type FiledNovember 3rd, 2021 Post-Adoption/Post-Placement Reports written by a SW @ $425.00 each Sibling Post-Adoption/Post-Placement (same date) @ $125.00 each TRAVEL EXPENSES when overnight stay is required SW Office to PAP home $ $ $ Hotel, meals, tolls, mileage PER NIGHT $175.00 x nights (additional transportation if required is not included – airfare, trains, etc) Apostilles $ 100.00 ICPC (Interstate Compact on the Placement of Children) assistance $ 800.00 Other services (description): $
PAYMENT DUE WITH CONTRACT FOR SERVICEAdoption Services Fee Agreement • November 3rd, 2021
Contract Type FiledNovember 3rd, 2021 Post-Adoption/Post-Placement Reports written by a SW @ $375.00 each Sibling Post-Adoption/Post-Placement (same date) @ $125.00 each TRAVEL EXPENSES when overnight stay is required SW Office to PAP home $ $ $ Hotel, meals, tolls, mileage PER NIGHT $175.00 x nights (additional transportation if required is not included – airfare, trains, etc) CHI processing of UT Background check @ $75/person $ Apostilles $ 100.00 ICPC (Interstate Compact on the Placement of Children) assistance $ 800.00 Other services (description): $ TOTAL PAID TO CHI: $
PAYMENT DUE WITH CONTRACT FOR SERVICEAdoption Services Fee Agreement • November 3rd, 2021
Contract Type FiledNovember 3rd, 2021 Post-Adoption/Post-Placement Reports written by a SW @ $375.00 each Sibling Post-Adoption/Post-Placement (same date) @ $125.00 each TRAVEL EXPENSES when overnight stay is required SW Office to PAP home $ $ $ Hotel, meals, tolls, mileage PER NIGHT $175.00 x nights(additional transportation if required is not included – airfare, trains, etc) Apostilles $ 100.00 ICPC (Interstate Compact on the Placement of Children) assistance $ 800.00 Other services (description): $ TOTAL PAID TO CHI: $
PAYMENT DUE WITH CONTRACT FOR SERVICEAdoption Services Fee Agreement • November 3rd, 2021
Contract Type FiledNovember 3rd, 2021I/We understand that all Post Placement/Post Adoption reports required to be written by a Social Worker* must be pre- paid with submission of this application OR if adopting through a CHI placement program, paid at referral acceptance.
PAYMENT DUE WITH CONTRACT FOR SERVICEAdoption Services Fee Agreement • November 3rd, 2021
Contract Type FiledNovember 3rd, 2021_ _ _ I/We understand that all Post Placement/Post Adoption reports required to be written by a Social Worker* must be pre-paid with submission of this application OR if adopting through a CHI placement program, paid at referral acceptance. *See “Schedule A” - Country Specific Post Adoption Requirements for details* or your Placing Agency.
PAYMENT DUE WITH CONTRACT FOR SERVICEAdoption Services Fee Agreement • November 3rd, 2021
Contract Type FiledNovember 3rd, 2021 Post-Adoption/Post-Placement Reports written by a SW @ $425.00 each Sibling Post-Adoption/Post-Placement (same date) @ $300.00 each TRAVEL EXPENSES when overnight stay is required SW Office to PAP home $ $ $ Hotel, meals, tolls, mileage PER NIGHT $175.00 x nights(additional transportation if required is not included – airfare, trains, etc) Apostilles $ 100.00 ICPC (Interstate Compact on the Placement of Children) assistance $ 800.00 Other services (description): $ TOTAL PAID TO CHI: $
PAYMENT DUE WITH CONTRACT FOR SERVICEAdoption Services Fee Agreement • February 2nd, 2021
Contract Type FiledFebruary 2nd, 2021 Post-Adoption/Post-Placement Reports written by a SW @ $425.00 each Sibling Post-Adoption/Post-Placement (same date) @ $125.00 each TRAVEL EXPENSES when overnight stay is required SW Office to PAP home $ $ $ Hotel, meals, tolls, mileage PER NIGHT $175.00 x nights (additional transportation if required is not included – airfare, trains, etc) Apostilles $ 100.00 ICPC (Interstate Compact on the Placement of Children) assistance $ 800.00 Other services (description): $
PAYMENT DUE WITH CONTRACT FOR SERVICEAdoption Services Fee Agreement • February 2nd, 2021
Contract Type FiledFebruary 2nd, 2021 Post-Adoption/Post-Placement Reports written by a SW @ $375.00 each Sibling Post-Adoption/Post-Placement (same date) @ $125.00 each TRAVEL EXPENSES when overnight stay is required SW Office to PAP home $ $ $ Hotel, meals, tolls, mileage PER NIGHT $175.00 x nights(additional transportation if required is not included – airfare, trains, etc) Apostilles $ 100.00 ICPC (Interstate Compact on the Placement of Children) assistance $ 800.00 Other services (description): $ TOTAL PAID TO CHI: $