Name
  LastName
  FirstName
  MiddleName
  Prefix
  Suffix

Address
  Address Type
  City Name
  State
  Street Name
  Street Name Suffix
  Postal Code
  County
  Street Number
  Street Number Suffix
  Street Post Direction
  Street Pre Direction
  Country
  PO Box Number
  Rural Route
  Secondary Number
  Carrier Route Num
  Address Line One Desc

Sex
  Male/Female/Unknown

Ethnicity
  Hispanic Or Latino

OrganizationName
  Name
  Type **

TelephoneNumber

Indicator
   Y/N/U

Initial Report Requested
  1 = Parent Home Study
  2 = Relative Home Study
  3 = Adoptive Home Study
  4 = Foster Home Study

Supervisory Services Requested
  1 = Request Receiving State to Arrange Supervisor
  2 = Another Agency Agreed to Supervise
  3 = Sending Agency to Supervise

SupervisoryReportsTimeFrame
  1 = Quarterly
  2 = Semi-Annually
  3 = Annually
  4 = Other

ICPCTerminationReason
  1 = Adoption Finalized In Receiving State
  2 = Adoption Finalized In Sending State
  3 = Child Reaches Majority/Legally Emancipated
  4 = Legal Custody and/or Guardianship Awarded and/or Returned To
  5 = Treatment Completed
  6 = Sending State's Jurisdication Terminated
  7 = Unilaterally
  8 = Child Returned to Sending State
  9 = Approved Resource Will Not Be Used For Placement