Detail Private Adoption Reporting

WINDOW OVERVIEW:

This window allows for entry of information required for an AFCARS report.  

Security to enter information and/or view the window is limited to Central Office staff.

FIELD DESCRIPTIONS:

The window status of Update, Add or Inquiry will display under the exit icon.

Name:  This field displays the name of the child.

Date of Birth:  This field displays the date of birth (MM-DD-YYYY) of the child.

Person Number:  This field displays the unique number N-FOCUS assigned to this person.

Private Adoption Group Box:

Date Adoption Legalized:  Enter the date in this box.

Child Special Needs:  Select Yes or No from the drop down list.

Child Prim Basis for Special Needs:  Select the category from the drop down list.

Mental Retardation: Select Applicable or Not Applicable from the drop down list.

Visually or Hearing Impaired: Select Applicable or Not Applicable from the drop down list.

Physically Disabled: Select Applicable or Not Applicable from the drop down list.

Emotionally Disturbed: Select Applicable or Not Applicable from the drop down list.

Other Medical Condition:  Select Applicable or Not Applicable from the drop down list.

Year of Birth Mother: Enter the birth year of the mother.

Year of Birth Father:  Enter the birth year of the father.

Mother Married at the time of Childs Birth:  Select Yes, No or Unable to Determine from the drop down.

Mother Not Intact Date:  Enter the date.

Father Not Intact Date:  Enter the date.

Step Parent: Select Applicable or Not Applicable from the drop down list.

Other Relative of Child:  Select Applicable or Not Applicable from the drop down list.

Foster Parent of Child:  Select Applicable or Not Applicable from the drop down list.

Other Non Relative to Child:  Select Applicable or Not Applicable from the drop down list.

Child Was Placed From:  Select Another Country, Another State or Within State from the drop down list.

Child Was Placed By: Select from the drop down list.

Monthly Amount:  Enter the monthly subsidized amount.

NFOAQL1H(36 )

(03-2011)