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100B Elements

Item Element
1 Receiving State Compact Administrator
  Name
  Address
2 Sending State Compact Administrator Name
  Name
  Address
3 ICPC Client
  Name
  Sex
  DateofBirth
  Ethnicity
4 Father
  Name
5 Mother
  Name
6 PlacementResource
  Name
7 PlacementRequestStatus
8 PlacementRequestDate
  Date
9 NameOfFacilityChildPlaced
  OrganizationName
10 PlacementDate
  Date
11 PlacementAgencyAddress
  Address
12 TypeOfICPCCare
13 ICPCTerminationReason
14 LegalCustodianOfChild
  Name
15 RelationshipToLegalCustodian
16 ICPCTerminationDate
  Date

 

 

 

 

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