DFPS staff members establish a separate case record if DFPS determines that a child is eligible for adoption assistance. (The adoption assistance case record is separate from the child’s foster care eligibility record.) The record is labeled in the child’s adoptive name and also includes the adoptive parents’ names. The following documents are included in the record:

• Legal documents:
  • Child’s birth certificate.
  • Nonrecurring printouts, forms, or IMPACT pages showing nonrecurring expenses.
  • Reimbursement form for payment.
  • Termination order (if applicable).
  • Petition of adoption.
  • Adoption decree.
  • Copy of Legal Status page from IMPACT.
• Agreements:
  • Adoption assistance agreement.
  • Placement agreement.
  • Certificate of continued eligibility (if applicable).
• Application materials:
  • Form 2250 Adoption Assistance RequestPDF Document.
  • Form 2253a Adoption Assistance Worksheet [sic, broken link]Word Document.
  • Form 2253b Adoptive Family Resources [sic, broken link]Word Document.
  • Form 2251a Adoption Assistance Eligibility Documentation [sic, broken link]Word Document.
  • Home study on adoptive parents.
  • FBI criminal history checks and other background checks on adoptive parents.
• Correspondence:
  • Letter stating child’s disability (if applicable).
  • Foster care eligibility sheet showing child’s service level.