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Regulation 2 Case Manager Statement

Regulation 2 Case Manager Statement 2026

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Regulation No. 2 outlines the requirements for a signed statement from the sending agency's case manager as part of the Interstate Compact on the Placement of Children (ICPC) process. This document ensures that the proposed placement resource has been contacted, is willing to cooperate, and confirms their ability to provide care for the child(ren). It includes sections for verifying information, confirming interest in placement, discussing financial support, and acknowledging background checks. The completed form must be submitted with other ICPC referral materials.

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Click ‘Get Form’ to open the Regulation 2 Case Manager Statement in the editor.
Begin by entering the 'Date of Contact' where you had direct communication with the proposed placement resource. Use the format MM/DD/YY.
In the 'Name of Child(ren) to be Placed/DOB' section, provide the full names and dates of birth for each child as listed on their birth certificates.
Fill in the 'Name/Address/Telephone of the Proposed Resource' with all relevant details including physical and mailing addresses, contact numbers, and optional Social Security Numbers.
Verify the information provided above by checking 'Yes' or 'No' in the verification section.
Confirm that the proposed placement resource is interested in cooperating with ICPC by checking 'Yes' or 'No'.
Complete additional confirmations regarding medical/financial support and current residents in the home, ensuring all required fields are filled accurately.
Finally, ensure signatures from both the Social/Case Service Worker and Supervisor (if required) are included along with their contact information.

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