Application Received Date

Enter the date the Department received the family's application for IV-E Adoption Assistance.

Projected End Date

Enter the estimated date when the subsidy should end.

Approval/Denial Date

Enter the date when the application was approved or denied.

Comments

Enter additional information about the request for the subsidy.

Subsidy Rate Type

Select the type of subsidy rate, such as per diem or monthly.

Deferred

Select this check box to indicate the application was deferred.

Recommended Per Diem Amount

Enter the amount of per diem recommended for the subsidy.

Approved Per Diem Amount

Enter the amount of per diem that was approved for the subsidy.