PAYMENT DUE WITH CONTRACT FOR SERVICEAdoption Services Fee Agreement • June 23rd, 2022
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. *I/We understand that fees include the following (on average): Social Worker Fee for Service 60%, Operating expenses 40% (Supplies, rent, state licensing, Hague accreditation costs and fees, bank & processing fees, conferences, training, utilities, shipping & postage, copiers, insurance, maintenance, mileage, payroll, publications, professional fees, websites, database & computer programs, etc.). I/We understand that should the adoption be disrupted or be dissolved, all post placement and post adoption report fees paid are non-refundable. Amounts shown include CHI administrative fees and Social Worker fees. I/We understand that travel expenses, if any, m
PAYMENT DUE WITH CONTRACT FOR SERVICEAdoption Services Fee Agreement • November 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 • October 30th, 2020
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.
PAYMENT DUE WITH CONTRACT FOR SERVICEAdoption Services Fee Agreement • March 19th, 2024
❑ Other services (description): $ Additional Mileage Expenses (Flat fee PER VISIT if total miles round trip PER VISIT is over the mileage below) Total number of visits:
Adoption Services Fee Agreement for Bulgaria Program (Family National Association‐FNA)Adoption Services Fee Agreement • May 10th, 2019
Below is a list of standardized fees incurred during the adoption process. Fees are for services provided during the adoption process. Please sign this Fee Agreement and return to Agape Adoptions/AAO. Retain a copy for your records. Once this Fee Agreement is signed, then you will remain under this fee structure, regardless of whether Agape Adoptions/AAO increases their fees. The exception is third party fees (any fee NOT paid to Agape Adoptions/AAO). Agape Adoptions/AAO cannot be responsible for any fee increases from a third party ‐ such as immigration, foreign fees, travel fees, etc.
PAYMENT DUE WITH CONTRACT FOR SERVICEAdoption Services Fee Agreement • May 1st, 2024
❑ Other services (description): $ Additional Mileage Expenses (Flat fee PER VISIT if total miles round trip PER VISIT is over the mileage below) Total number of visits:
PAYMENT DUE WITH CONTRACT FOR SERVICEAdoption Services Fee Agreement • April 3rd, 2024
❑ Other services (description): $ Additional Mileage Expenses (Flat fee PER VISIT if total miles round trip PER VISIT is over the mileage below) Total number of visits:
PAYMENT DUE WITH CONTRACT FOR SERVICEAdoption Services Fee Agreement • February 2nd, 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 • June 28th, 2024
SERVICE(S) PROVIDED FEES ARE THE SAME FOR DOMESTIC AND INTERNATIONAL Fee (Check box please) Home Study – Fees due with application* $2,450.00 Home Study Update < 2 Years* $1,900.00 Home Study Update > 2 Years* $2,100 Home Study Update to respond to Request for Evidence from U.S. Citizenship and Immigration Services $500.00 Letter or supplemental information requested by the Foreign Country $100.00 Home Safety Visit – Hosting only* $500.00
PAYMENT DUE WITH CONTRACT FOR SERVICEAdoption Services Fee Agreement • February 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) 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 • February 2nd, 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.
PAYMENT DUE WITH CONTRACT FOR SERVICEAdoption Services Fee Agreement • March 26th, 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 • April 30th, 2024
❑ Other services (description): $ Additional Mileage Expenses (Flat fee PER VISIT if total miles round trip PER VISIT is over the mileage below) Total number of visits:
