Type

Displays the type of interstate compact request.

Sub-type

Select the specific type of request, if applicable.

Child Current IC Legal  Status

Select the status for an ICPC request.

Type of Care Requested

Select the type of care requested for the child.

Name

Displays the name of the relative who is caring for the child. Click  Link Person to select the person from the database.

Relationship to Child

Select the relationship the selected person has to the child.

Name

Displays the name of the resource who is caring for the child. Click  Link Resource to select the resource from the database.

Licensure

Select the type of license maintained by the resource.

Contact

Displays the name of the contact person at the resource. Click  Link Person to select the person from the database.

Initial Report Needed

Select the type of form needed for an initial report.

Supervisory Services/Frequency of Reports

Select the frequency that the reports should be generated.

Sex Offender Case

Select Yes if the juvenile is a sex offender.

Request Type Existing

Contains the possible requests for the ICJ referral. Click one or more items in the list and click Add> to move them to the Selected box.

Request Type Selected

Contains the ICJ request types selected for the case.

Reports Requested Existing

Contains the possible reports  for the ICJ referral. Click one or more items in the list and click Add> to move them to the Selected box.

Reports Requested Selected

Contains the ICJ report types selected for the case.

Child's IV-E Status

Displays the child's IV-E eligibility.

TN Medicaid Effective Date

Type or select the date when the child became eligible for TN Medicaid.

TN Medicaid Termination Date

Type or select the date when the child's TN Medicaid coverage ended.

Referral Sent to Central Office

Select this check box if this referral was sent to the Central Office.

Resubmitted Referral to Central Office

Select this check box if this referral was resubmitted to the Central Office.